CMS Price Transparency Data

Breast lump removal

Facility: Baptist Medical Center Attala

Billing Code: 19120 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 19120
  • Insurance Median: $4,278
  • Cash Discount Price: $2,988
  • vs. Medicare Baseline: 1.07x Medicare
The contracted insurance negotiated median rate for a Breast lump removal at Baptist Medical Center Attala is $4,278. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,988. Compared to the federal Medicare reimbursement reference rate of $4,000.24, this hospital’s rate is 1.07x the Medicare baseline. Located in 220 Hwy 12 West, Kosciusko, MS.
Cash / Self-Pay
$2,988

Average discount available for prompt cash payment at this facility.

Insurance Median
$4,278

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%)
Cash / Self-Pay: $2,988 (75%)
Insurance Median: $4,278 (107%)
Cash: $2,988 (75% of Medicare)
Ins. Median: $4,278 (107% 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

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
UnitedHealthcare $1,522 38%
Tricare $2,258 56%
Ms Breast And Cervical $2,376 59%
Triwest $2,376 59%
Vaccn $2,376 59%
Devoted Health $2,424 61%
Blue Cross Blue Shield $2,448 - $7,729 61%
Aetna $2,495 - $5,907 62%
American Health Plan $2,495 62%
Cigna $2,495 62%
Humana $2,495 - $6,111 62%
Magnolia Ms $2,495 - $3,351 62%
Primewell $2,495 62%
Shared Health $2,495 62%
Wellcare $2,495 62%
Ppo Holdings $2,580 64%
Magnolia Regional Health Center $2,716 68%
Veterans Evaluation Services $3,351 84%
Littler $3,395 85%
Molina $3,418 - $5,864 85%
Burch Food Services $4,040 101%
First State Bank Trust $4,040 101%
Armstrong Relocation $4,278 107%
Ashley Furniture Stores $4,278 107%
Brimhall Foods $4,278 107%
Building Plastic $4,278 107%
Cannon Motor Company $4,278 107%
Carlisle $4,278 107%
Crittenden County $4,278 107%
Davidson Hospitality $4,278 107%
Delta Industries $4,278 107%
Desoto Co Board Of Supervisors $4,278 107%
Dunn Investment Company $4,278 107%
First Choice Health Plan Of Ms $4,278 107%
First Community Bank $4,278 107%
French Camp Academy $4,278 107%
Gossett Motor Cars $4,278 107%
Hattiesburg Clinic $4,278 107%
Heartland Catfish Company $4,278 107%
Heavy Machines $4,278 107%
Hospitality Management Advisors $4,278 107%
Jas D Collier $4,278 107%
Malco Theaters $4,278 107%
Mechanical Systems $4,278 107%
Mid-South Transport $4,278 107%
Minact $4,278 107%
Patterson Warehouses $4,278 107%
Radians $4,278 107%
Rei Nation $4,278 107%
Retzer Resources $4,278 107%
Ritchey Automotive $4,278 107%
Security One $4,278 107%
Silver Tree $4,278 107%
State Systems $4,278 107%
United Tn Holdings $4,278 107%
Vaughn Electric $4,278 107%
W G Yates $4,278 107%
W W Wood Products $4,278 107%
Watkins Uiberall $4,278 107%
Y K Auto Group $4,278 107%
Employers Health Network $4,753 119%
Harding Academy $4,753 119%
Multiplan $4,753 119%
Ppo Plus $4,753 119%
Coventry $4,876 122%
Advanced Health Systems Inc. $6,656 166%
Ms Dept Of Rehab Services $6,790 170%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 220 Hwy 12 West, Kosciusko, MS 39090
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals