CMS Price Transparency Data

Breast lump removal

Facility: The McDowell Hospital

Billing Code: 19120 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$3,755
about 0.9× the $4,000 Medicare rate · typically $1,367–$6,456
modeled estimate · not a bill or quote
What this hospital charges insurers
$3,954
About the fair price
about $199 over the fair price · 1.0× Medicare
Medicare pays $4,000 Fair price $3,755 This hospital $3,954

How we calculate the fair BaseRate →

How this hospital compares to other NC hospitals

Highest price of the 9 NC hospitals we have prices for — worth calling around.

Cheapest $469 Priciest $3,954

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

A fair price for a Breast lump removal is about $3,755 (about 0.9× the $4,000 Medicare rate). The McDowell Hospital charges insurers about $3,954 — about the fair price. Located in Marion, NC.

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
Ambetter (Centene) $3,954 99%
AmeriHealth $3,954 99%
+ 2 smaller / regional plans $2,800 - $4,950

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Facility Profile & Credentials

  • Address: 430 Rankin Drive P O Box 730, Marion, NC 28752
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals