CMS Price Transparency Data
Breast lump removal
Facility: Altru Hospital
Billing Code: 19120 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$3,793
about 0.9× the $4,000 Medicare rate · typically $2,357–$4,049
modeled estimate · not a bill or quote
Medicare pays $4,000 Fair price $3,793 Cash price $2,202 Hospital's list price $3,610
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 | $7,050 - $7,833 | 176% |
| Blue Cross Blue Shieldmajor | $1,434 - $10,408 | 36% |
| Aetnamajor | $4,000 - $7,200 | 100% |
| Medica | $242 - $5,176 | 6% |
| Sanford Health Plan | $4,671 - $6,271 | 117% |
| + 1 smaller / regional plan | $8,000 |
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Other Procedures at Altru Hospital
Compare: Breast lump removal at other ND hospitals
- CHI St Alexius Health Williston · Williston $1,190
- CHI St Alexius Health Dickinson · Dickinson $1,394
- Essentia Health · Fargo $3,829
- CHI St Alexius Health · Bismarck $3,906
- Sanford Medical Center Fargo · Fargo $3,944
- Sanford Medical Center Bismarck · Bismarck $3,944
- Trinity Hospitals · Minot $4,000
Insurance negotiated median for the same procedure, sorted lowest first.