CMS Price Transparency Data

Breast lump removal

Facility: Phelps Memorial Health Center

Billing Code: 19120 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$503
about 0.1× the $4,000 Medicare rate · typically $348–$1,685
modeled estimate · not a bill or quote
What this hospital charges insurers
$531
About the fair price
about $28 over the fair price · 0.1× Medicare
Medicare pays $4,000 Fair price $503 This hospital $531 Cash price $1,408 Hospital's list price $1,564

How we calculate the fair BaseRate →

How this hospital compares to other NE hospitals

One of the lower prices — 7 of 8 other NE hospitals charge more for the same procedure.

Cheapest $466 Priciest $1,394

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 $503 (about 0.1× the $4,000 Medicare rate). Phelps Memorial Health Center charges insurers about $531, or about $1,408 in cash — about the fair price. Located in Holdrege, NE.

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 $365 - $1,564 9%
Blue Cross Blue Shieldmajor $365 - $649 9%
Aetnamajor $449 - $1,564 11%
Ambetter (Centene) $625 16%
Medica $365 - $657 9%
Molina $1,564 39%
WellCare $365 9%
+ 6 smaller / regional plans $365 - $693
Government programs also on file: Military & VA.
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1215 Tibbals St, Holdrege, NE 68949
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals