CMS Price Transparency Data

Breast lump removal

Facility: Kearney County Health Services Hospital

Billing Code: 19120 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 19120
Insurance Median: $3,059
Cash Discount Price: $3,348
vs. Medicare Baseline: 0.76x Medicare

The contracted insurance negotiated median rate for a Breast lump removal at Kearney County Health Services Hospital is $3,059. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,348. Compared to the federal Medicare reimbursement reference rate of $4,000.24, this hospital’s rate is 0.76x the Medicare baseline. Located in 727 East 1St St, Minden, NE.

Cash / Self-Pay

$3,348

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,059

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$4,000.24

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $4,000.24 (100%)

Cash / Self-Pay: $3,348 (84%)

Insurance Median: $3,059 (76%)

Cash: $3,348 (84% of Medicare)

Ins. Median: $3,059 (76% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $4,000.24 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Blue Cross Blue Shield	$662 - $3,876	17%
Medica	$662 - $13,814	17%
Humana	$728 - $3,876	18%
UnitedHealthcare	$728 - $6,696	18%
Total Care	$735 - $3,993	18%
Aetna	$764 - $13,391	19%
Great Plains	$764 - $4,070	19%
Healthy Blue	$764 - $4,070	19%
Multiplan	$1,297 - $6,907	32%
Healthnet	$1,323 - $7,048	33%
Triwest	$1,323 - $7,048	33%
Molina	$1,363 - $7,259	34%
Private Healthcare Systems And Multiplan	$2,176 - $11,590	54%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $3,348.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 19120.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Kearney County Health Services Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 19120.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.