CMS Price Transparency Data

Breast lump removal

Facility: Monroe Regional Hospital

Billing Code: 19120 (CPT)

The BaseRate · fair price low confidence

A fair price for this

$1,017

about 0.3× the $4,000 Medicare rate · typically $446–$4,540

modeled estimate · not a bill or quote

What this hospital charges insurers

$449

Below the fair price — a good deal

about $568 under the fair price · 0.1× Medicare

Medicare pays $4,000 Fair price $1,017 This hospital $449 Cash price $1,087 Hospital's list price $1,087

How we calculate the fair BaseRate →

How this hospital compares to other MS hospitals

Lowest price of the 9 MS hospitals we have prices for — a strong deal.

Cheapest $449 Priciest $1,554

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 $1,017 (about 0.3× the $4,000 Medicare rate). Monroe Regional Hospital charges insurers about $449, or about $1,087 in cash — below the fair price — a good deal. Located in Aberdeen, MS.

What each insurance company pays

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

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

✓ Blue Cross Blue Shield✓ Aetna UnitedHealthcareCignaHumanaKaiser 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
Blue Cross Blue Shieldmajor	$688 - $943	17%
Aetnamajor	$826 - $1,131	21%
Ambetter (Centene)	$340 - $465	8%
+ 1 smaller / regional plan	$417 - $1,257

Government programs also on file: Medicare, Medicaid.

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 1,087), 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 Monroe Regional 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 Monroe Regional Hospital

Compare: Breast lump removal at other MS hospitals

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