CMS Price Transparency Data

Breast lump removal

Facility: St James Hospital

Billing Code: 19120 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$4,203
about 1.1× the $4,000 Medicare rate · typically $2,557–$4,497
modeled estimate · not a bill or quote
What this hospital charges insurers
$3,944
About the fair price
about $259 under the fair price · 1.0× Medicare
Medicare pays $4,000 Fair price $4,203 This hospital $3,944

How we calculate the fair BaseRate →

How this hospital compares to other MT hospitals

On the higher side — 6 of 8 other MT hospitals charge less.

Cheapest $469 Priciest $7,398

Black dot = this hospital, among the 9 MT hospitals with a price for this procedure. Full list below.

A fair price for a Breast lump removal is about $4,203 (about 1.1× the $4,000 Medicare rate). St James Hospital charges insurers about $3,944 — about the fair price. Located in Butte, MT.

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

✓ UnitedHealthcare✓ Humana Blue Cross Blue ShieldAetnaCignaKaiser 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 $3,906 98%
Humanamajor $3,944 99%
+ 2 smaller / regional plans $8,041 - $10,913

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Facility Profile & Credentials

  • Address: 400 S Clark St, Butte, MT 59701
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals