CMS Price Transparency Data
Breast lump removal
Facility: North Sunflower Medical Center Cah
Billing Code: 19120 (CPT)
The BaseRate · fair price low confidence
A fair price for this
$723
about 0.2× the $4,000 Medicare rate · typically $352–$3,202
modeled estimate · not a bill or quote
Medicare pays $4,000 Fair price $723 Cash price $1,286 Hospital's list price $2,572
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
4 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser 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 | $426 - $708 | 11% |
| Blue Cross Blue Shieldmajor | $4,393 | 110% |
| Aetnamajor | $428 - $2,987 | 11% |
| Humanamajor | $428 - $2,328 | 11% |
| Ambetter (Centene) | $376 - $2,352 | 9% |
| + 1 smaller / regional plan | $572 - $2,855 |
Government programs also on file: Medicare, Medicaid.
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Other Procedures at North Sunflower Medical Center Cah
Compare: Breast lump removal at other MS hospitals
- Monroe Regional Hospital · Aberdeen $449
- Ochsner Rush Hospital · Meridian $593
- Ochsner Watkins Hospital · Quitman $593
- Ochsner Laird Hospital · Union $593
- Ochsner Scott Regional · Morton $593
- Ochsner Stennis Memorial Hospital · De Kalb $593
- S E Lackey Memorial Hospital · Forest $796
- Baptist Memorial Hospital-Oktibbeha County · Starkville $876
Insurance negotiated median for the same procedure, sorted lowest first.