CMS Price Transparency Data

Breast lump removal

Facility: Dr Dan C Trigg Memorial Hospital

Billing Code: 19120 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$2,369
about 0.6× the $4,000 Medicare rate · typically $708–$9,027
modeled estimate · not a bill or quote
What this hospital charges insurers
$12,791
Well above the fair price
about $10,422 over the fair price · 3.2× Medicare
Medicare pays $4,000 Fair price $2,369 This hospital $12,791

How we calculate the fair BaseRate →

How this hospital compares to other NM hospitals

Highest price of the 9 NM hospitals we have prices for — worth calling around.

Cheapest $3,857 Priciest $12,791

Black dot = this hospital, among the 9 NM hospitals with a price for this procedure. Full list below.

A fair price for a Breast lump removal is about $2,369 (about 0.6× the $4,000 Medicare rate). Dr Dan C Trigg Memorial Hospital charges insurers about $12,791 — well above the fair price. Located in Tucumcari, NM.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $2,369. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

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

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

UnitedHealthcareBlue Cross Blue ShieldAetnaCignaHumanaKaiser 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
Presbyterian $12,791 320%

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 301 East Miel De Luna Avenue, Tucumcari, NM 88401
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals