CMS Price Transparency Data
Breast lump removal
Facility: Faith Regional Health Services
Billing Code: 19120 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$4,069
about 1.0× the $4,000 Medicare rate · typically $2,199–$4,297
modeled estimate · not a bill or quote
Medicare pays $4,000 Fair price $4,069 Cash price $1,299 Hospital's list price $2,075
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 | $4,463 | 112% |
| Blue Cross Blue Shieldmajor | $4,333 | 108% |
| Aetnamajor | $4,333 | 108% |
| Ambetter (Centene) | $4,463 | 112% |
| Medica | $4,550 | 114% |
| Molina | $4,766 | 119% |
| WellCare | $4,463 | 112% |
| + 2 smaller / regional plans | $4,550 |
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Other Procedures at Faith Regional Health Services
Compare: Breast lump removal at other NE hospitals
- Cherry County Hospital · Valentine $466
- Phelps Memorial Health Center · Holdrege $531
- Mary Lanning Healthcare · Hastings $559
- The Nebraska Medical Center · Omaha $617
- Harlan County Health System · Alma $679
- Regional West Medical Center · Scottsbluff $776
- Pawnee County Memorial Hospital · Pawnee City $1,027
- CHI Health St. Marys · Nebraska City $1,365
Insurance negotiated median for the same procedure, sorted lowest first.