CMS Price Transparency Data
Breast lump removal
Facility: Baptist Memorial Hospital Desoto
Billing Code: 19120 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 19120
- Insurance Median: $5,786
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 1.45x Medicare
The contracted insurance negotiated median rate for a Breast lump removal at Baptist Memorial Hospital Desoto is $5,786. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $4,000.24, this hospital’s rate is 1.45x the Medicare baseline. Located in 7601 Southcrest Parkway, Southaven, MS.
Cash / Self-Pay
Unavailable
Average discount available for prompt cash payment at this facility.
Insurance Median
$5,786
Median negotiated contract rate across all mapped commercial carriers.
Medicare Reference Rate
$4,000.24
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Medicare Reference Baseline: $4,000.24 (100%)
Insurance Median: $5,786 (145%)
Ins. Median: $5,786 (145% of Medicare)
Understanding this gauge: We use the federal Medicare rate of $4,000.24 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.
Out-of-Pocket Cost Estimator
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Blue Cross Blue Shield | $936 - $4,814 | 23% |
| Humana | $1,238 - $3,682 | 31% |
| UnitedHealthcare | $1,489 - $2,195 | 37% |
| Multiplan | $2,476 | 62% |
| Wellpoint | $3,331 - $3,682 | 83% |
| Triwest | $3,366 | 84% |
| Ms Breast And Cervical | $3,506 | 88% |
| Vaccn | $3,506 | 88% |
| Veterans Evaluation Services | $3,506 | 88% |
| Devoted Health | $3,577 | 89% |
| Molina | $3,577 - $6,487 | 89% |
| Aetna | $3,682 | 92% |
| American Health Plan | $3,682 | 92% |
| Novasys | $3,682 | 92% |
| Shared Health | $3,682 | 92% |
| Tribute Health Plan | $3,682 | 92% |
| Oscar | $4,722 | 118% |
| Magnolia Ms | $5,022 | 126% |
| Brimhall Foods | $5,260 | 131% |
| Rhodes College | $5,610 | 140% |
| Arlington Community Schools | $5,786 | 145% |
| Bartlett City Schools | $5,786 | 145% |
| City Of Bartlett | $5,786 | 145% |
| City Of Lakeland | $5,786 | 145% |
| Collierville Schools | $5,786 | 145% |
| Eas Mssc Schools | $5,786 | 145% |
| Lakeland School System | $5,786 | 145% |
| Town Of Collierville | $5,786 | 145% |
| First State Bank Trust | $5,961 | 149% |
| Armstrong Relocation | $6,312 | 158% |
| Ashley Furniture Stores | $6,312 | 158% |
| Building Plastic | $6,312 | 158% |
| Burch Food Services | $6,312 | 158% |
| Cannon Motor Company | $6,312 | 158% |
| Carlisle | $6,312 | 158% |
| Crittenden County | $6,312 | 158% |
| Davidson Hospitality | $6,312 | 158% |
| Delta Industries | $6,312 | 158% |
| Desoto Co Board Of Supervisors | $6,312 | 158% |
| Dunn Investment Company | $6,312 | 158% |
| First Choice Health Plan Of Ms | $6,312 | 158% |
| First Community Bank | $6,312 | 158% |
| French Camp Academy | $6,312 | 158% |
| Gossett Motor Cars | $6,312 | 158% |
| Hattiesburg Clinic | $6,312 | 158% |
| Heartland Catfish Company | $6,312 | 158% |
| Heavy Machines | $6,312 | 158% |
| Hollowell Industries | $6,312 | 158% |
| Hospitality Management Advisors | $6,312 | 158% |
| Jas D Collier | $6,312 | 158% |
| Malco Theaters | $6,312 | 158% |
| Mechanical Systems | $6,312 | 158% |
| Mid-South Transport | $6,312 | 158% |
| Minact | $6,312 | 158% |
| Patterson Warehouses | $6,312 | 158% |
| Radians | $6,312 | 158% |
| Rei Nation | $6,312 | 158% |
| Retzer Resources | $6,312 | 158% |
| Ritchey Automotive | $6,312 | 158% |
| Security One | $6,312 | 158% |
| Silver Tree | $6,312 | 158% |
| State Systems | $6,312 | 158% |
| United Tn Holdings | $6,312 | 158% |
| Vaughn Electric | $6,312 | 158% |
| W G Yates | $6,312 | 158% |
| W W Wood Products | $6,312 | 158% |
| Watkins Uiberall | $6,312 | 158% |
| Y K Auto Group | $6,312 | 158% |
| Access Health Services | $7,013 | 175% |
| Employers Health Network | $7,013 | 175% |
| Harding Academy | $7,013 | 175% |
| Mpcn | $7,013 | 175% |
| Primewell | $9,818 | 245% |
| Advanced Health Systems Inc. | $10,306 | 258% |