CMS Price Transparency Data

Breast lump removal

Facility: Merit Health River Oaks

Billing Code: 19120 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$4,184
about 1.0× the $4,000 Medicare rate · typically $2,780–$5,569
modeled estimate · not a bill or quote
What this hospital charges insurers
$4,419
About the fair price
about $235 over the fair price · 1.1× Medicare
Medicare pays $4,000 Fair price $4,184 This hospital $4,419 Cash price $11,477 Hospital's list price $63,759

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 $4,419

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 $4,184 (about 1.0× the $4,000 Medicare rate). Merit Health River Oaks charges insurers about $4,419, or about $11,477 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 - $17,024 73%
Blue Cross Blue Shieldmajor $5,383 135%
Aetnamajor $3,583 - $44,631 90%
Cignamajor $12,688 317%
Humanamajor $3,479 87%
CareSource $2,976 74%
Devoted Health $3,548 89%
Molina $3,151 - $4,962 79%
WellCare $3,606 90%
+ 26 smaller / regional plans $2,947 - $57,383
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 7 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1030 River Oaks Drive, Flowood, MS 39232
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals