CMS Price Transparency Data
Breast lump removal
Facility: Howard County Medical Center
Billing Code: 19120 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$426
about 0.1× the $4,000 Medicare rate · typically $376–$1,574
modeled estimate · not a bill or quote
Medicare pays $4,000 Fair price $426
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 | $63 - $1,450 | 2% |
| Blue Cross Blue Shieldmajor | $365 - $2,186 | 9% |
| Aetnamajor | $138 - $1,036 | 3% |
| Humanamajor | $311 | 8% |
| Ambetter (Centene) | $731 | 18% |
| Medica | $365 - $934 | 9% |
| Molina | $65 - $485 | 2% |
| Oscar Health | $640 | 16% |
| WellCare | $376 | 9% |
| + 4 smaller / regional plans | $63 - $945 |
Government programs also on file: Military & VA.
Self-Pay How to get the cash price
Insurance Before you use insurance
Other Procedures at Howard County Medical Center
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.