CMS Price Transparency Data
Breast lump removal
Facility: Great Falls Clinic Hospital
Billing Code: 19120 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$4,899
about 1.2× the $4,000 Medicare rate · typically $2,381–$7,922
modeled estimate · not a bill or quote
Medicare pays $4,000 Fair price $4,899 Cash price $7,297 Hospital's list price $7,297
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✓ Humana UnitedHealthcareAetnaCignaKaiser 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 | $3,981 - $8,956 | 100% |
| Humanamajor | $3,981 | 100% |
| + 2 smaller / regional plans | $7,563 - $8,757 |
Government programs also on file: Military & VA.
Self-Pay How to get the cash price
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Other Procedures at Great Falls Clinic Hospital
Compare: Breast lump removal at other MT hospitals
- Livingston Healthcare · Livingston $469
- Frances Mahon Deaconess Hospital · Glasgow $581
- Central Montana Medical Center · Lewistown $649
- Daniels Memorial Hospital · Scobey $670
- Sidney Health Center · Sidney $681
- Barrett Hospital & Healthcare · Dillon $720
- St James Hospital · Butte $3,944
- St. Patrick Hospital · Missoula $4,120
Insurance negotiated median for the same procedure, sorted lowest first.