CMS Price Transparency Data

Breast lump removal

Facility: CHI Health St. Francis

Billing Code: 19120 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$3,855
about 1.0× the $4,000 Medicare rate · typically $1,601–$4,075
modeled estimate · not a bill or quote
What this hospital charges insurers
$3,855
About the fair price
1.0× Medicare
Medicare pays $4,000 Fair price $3,855 This hospital $3,855

How we calculate the fair BaseRate →

How this hospital compares to other NE hospitals

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

Cheapest $466 Priciest $3,855

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

A fair price for a Breast lump removal is about $3,855 (about 1.0× the $4,000 Medicare rate). CHI Health St. Francis charges insurers about $3,855 — about the fair price. Located in Grand Island, NE.

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✓ Humana AetnaCignaKaiser 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 $3,672 92%
Blue Cross Blue Shieldmajor $3,672 92%
Humanamajor $3,672 92%
Ambetter (Centene) $3,119 - $3,782 78%
Amerigroup $3,119 - $3,855 78%
Medica $770 - $6,333 19%
Molina $3,180 79%
+ 6 smaller / regional plans $3,855 - $19,277

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Facility Profile & Credentials

  • Address: 2620 West Faidley Ave, Grand Island, NE 68803
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals