CMS Price Transparency Data

Breast lump removal

Facility: Cabinet Peaks Medical Center

Billing Code: 19120 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$506

about 0.1× the $4,000 Medicare rate · typically $506–$2,400

modeled estimate · not a bill or quote

Medicare pays $4,000 Fair price $506 Cash price $725 Hospital's list price $1,036

How we calculate the fair BaseRate →

What each insurance company pays

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

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

UnitedHealthcareBlue Cross Blue ShieldAetnaCignaHumanaKaiser 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
No insurance-company prices are published for this procedure.
+ 2 smaller / regional plans	$245 - $857

Government programs also on file: Military & VA.

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 725), 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 Cabinet Peaks Medical Center 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 Cabinet Peaks Medical Center

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.