CMS Price Transparency Data

Breast lump removal

Facility: Merit Health Women's Hospital

Billing Code: 19120 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$4,014

about 1.0× the $4,000 Medicare rate · typically $2,614–$4,818

modeled estimate · not a bill or quote

What this hospital charges insurers

$3,889

About the fair price

about $125 under the fair price · 1.0× Medicare

Medicare pays $4,000 Fair price $4,014 This hospital $3,889 Cash price $9,028 Hospital's list price $42,990

How we calculate the fair BaseRate →

How this hospital compares to other MS hospitals

Highest price of the 9 MS hospitals we have prices for — worth calling around.

Cheapest $449 Priciest $3,889

Black dot = this hospital, among the 9 MS hospitals with a price for this procedure. Full list below.

A fair price for a Breast lump removal is about $4,014 (about 1.0× the $4,000 Medicare rate). Merit Health Women's Hospital charges insurers about $3,889, or about $9,028 in cash — about the fair price. Located in Flowood, MS.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$2,918 - $12,252	73%
Blue Cross Blue Shieldmajor	$5,178	129%
Aetnamajor	$3,583 - $30,093	90%
Cignamajor	$9,372	234%
Humanamajor	$3,479	87%
CareSource	$2,976	74%
Devoted Health	$3,548	89%
Molina	$3,151 - $4,962	79%
WellCare	$3,606	90%
+ 21 smaller / regional plans	$2,947 - $36,542

Government programs also on file: Medicare, Medicaid, Military & VA.

Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 9,028), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 19120.

Insurance Before you use insurance

Call your insurance company to confirm Merit Health Women's Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 19120.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Merit Health Women's Hospital

Compare: Breast lump removal at other MS hospitals

Insurance negotiated median for the same procedure, sorted lowest first.