CMS Price Transparency Data

Breast lump removal

Facility: Lincoln Surgical Hospital

Billing Code: 19120 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$3,589
about 0.9× the $4,000 Medicare rate · typically $1,955–$4,681
modeled estimate · not a bill or quote
What this hospital charges insurers
$4,000
About the fair price
about $411 over the fair price · 1.0× Medicare
Medicare pays $4,000 Fair price $3,589 This hospital $4,000 Cash price $8,125 Hospital's list price $8,125

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 $4,000

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 $3,589 (about 0.9× the $4,000 Medicare rate). Lincoln Surgical Hospital charges insurers about $4,000, or about $8,125 in cash — about the fair price. Located in Lincoln, NE.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser 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 $1,065 - $6,500 27%
Blue Cross Blue Shieldmajor $2,513 - $4,000 63%
Aetnamajor $4,000 - $4,084 100%
Humanamajor $4,000 100%
Ambetter (Centene) $7,659 191%
Medica $4,000 100%
Molina $1,065 27%
WellCare $4,000 100%
+ 1 smaller / regional plan $1,065
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1710 South 70Th Street, Lincoln, NE 68506
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals