CMS Price Transparency Data
Breast lump removal
Facility: Valley County Health System
Billing Code: 19120 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$432
about 0.1× the $4,000 Medicare rate · typically $366–$1,494
modeled estimate · not a bill or quote
Medicare pays $4,000 Fair price $432
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 | $323 - $365 | 8% |
| Blue Cross Blue Shieldmajor | $365 - $734 | 9% |
| Aetnamajor | $383 | 10% |
| Humanamajor | $372 | 9% |
| Medica | $365 - $739 | 9% |
| Molina | $326 - $333 | 8% |
| WellCare | $376 | 9% |
| + 2 smaller / regional plans | $323 - $383 |
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
Self-Pay How to get the cash price
Insurance Before you use insurance
Other Procedures at Valley County Health System
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.