CMS Price Transparency Data

Breast lump removal

Facility: Sanford Medical Center Bismarck

Billing Code: 19120 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$3,152
about 0.8× the $4,000 Medicare rate · typically $2,662–$3,867
modeled estimate · not a bill or quote
What this hospital charges insurers
$3,944
Above the fair price
about $792 over the fair price · 1.0× Medicare
Medicare pays $4,000 Fair price $3,152 This hospital $3,944

How we calculate the fair BaseRate →

How this hospital compares to other ND hospitals

On the higher side — 4 of 6 other ND hospitals charge less.

Cheapest $1,190 Priciest $4,000

Black dot = this hospital, among the 7 ND hospitals with a price for this procedure. Full list below.

A fair price for a Breast lump removal is about $3,152 (about 0.8× the $4,000 Medicare rate). Sanford Medical Center Bismarck charges insurers about $3,944 — above the fair price. Located in Bismarck, ND.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $3,152. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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 $3,871 - $3,944 97%
Blue Cross Blue Shieldmajor $1,689 - $20,215 42%
Aetnamajor $3,871 - $3,944 97%
HealthPartners $3,871 - $3,944 97%
Sanford Health Plan $421 - $3,638 11%
UCare $3,833 - $4,212 96%
+ 1 smaller / regional plan $3,946 - $4,212
Government programs also on file: Medicare.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 300 N 7Th St, Bismarck, ND 58506
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals