CMS Price Transparency Data

Breast lump removal

Facility: Holy Cross Hospital A Div of Taos Health Systems

Billing Code: 19120 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$2,251
about 0.6× the $4,000 Medicare rate · typically $708–$9,865
modeled estimate · not a bill or quote
What this hospital charges insurers
$4,908
Well above the fair price
about $2,657 over the fair price · 1.2× Medicare
Medicare pays $4,000 Fair price $2,251 This hospital $4,908

How we calculate the fair BaseRate →

How this hospital compares to other NM hospitals

A typical price — 3 charge more and 5 charge less, among the 9 NM hospitals compared.

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 $2,251 (about 0.6× the $4,000 Medicare rate). Holy Cross Hospital A Div of Taos Health Systems charges insurers about $4,908 — well above the fair price. Located in Taos, 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 $2,251. 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.

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

✓ UnitedHealthcare Blue 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
UnitedHealthcaremajor $4,908 123%

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: 1397 Weimer Road, Taos, NM 87571
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals