CMS Price Transparency Data
Breast lump removal
Facility: University Medical Center
Billing Code: 19120 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 19120
- Insurance Median: $608
- Cash Discount Price: $879
- vs. Medicare Baseline: 0.15x Medicare
The contracted insurance negotiated median rate for a Breast lump removal at University Medical Center is $608. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $879. Compared to the federal Medicare reimbursement reference rate of $4,000.24, this hospital’s rate is 0.15x the Medicare baseline. Located in 1800 W Charleston Blvd, Las Vegas, NV.
Cash / Self-Pay
$879
Average discount available for prompt cash payment at this facility.
Insurance Median
$608
Median negotiated contract rate across all mapped commercial carriers.
Medicare Reference Rate
$4,000.24
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Medicare Reference Baseline: $4,000.24 (100%)
Cash / Self-Pay: $879 (22%)
Insurance Median: $608 (15%)
Cash: $879 (22% of Medicare)
Ins. Median: $608 (15% of Medicare)
Understanding this gauge: We use the federal Medicare rate of $4,000.24 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
Input your details and click calculate to compare out-of-pocket costs.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Aig | $295 - $2,559 | 7% |
| Beech Street | $295 - $2,559 | 7% |
| Cement Masons & Plasters H&W | $295 - $3,010 | 7% |
| Advantra Freedom | $362 - $4,232 | 9% |
| Aetna | $362 - $7,406 | 9% |
| Ambetter / Centene | $389 - $6,560 | 10% |
| Molina | $389 - $6,263 | 10% |
| Sierra Health And Life | $389 - $4,867 | 10% |
| Allwell | $405 - $4,232 | 10% |
| Arroweye Solutions | $405 - $1,925 | 10% |
| Blue Cross Blue Shield | $405 - $4,888 | 10% |
| Caesar'S Entertainment | $405 - $3,010 | 10% |
| City Of Henderson | $405 - $3,010 | 10% |
| City Of North Las Vegas | $405 - $3,010 | 10% |
| Clark County Epo | $405 - $3,010 | 10% |
| Clark County Self Funded | $405 - $3,010 | 10% |
| Dignity Health | $405 - $1,925 | 10% |
| Golden Entertainment | $405 - $1,925 | 10% |
| Golden Nugget Hotel & Casino | $405 - $1,925 | 10% |
| Healthcare Partners Of Nevada | $405 - $4,232 | 10% |
| Las Vegas Metro Police Dept | $405 - $3,010 | 10% |
| Las Vegas Sand Corps | $405 - $1,647 | 10% |
| Marshall Retail Group | $405 - $1,925 | 10% |
| Mgm Grand | $405 - $3,010 | 10% |
| Mirage Las Vegas | $405 - $3,010 | 10% |
| Operating Engineers | $405 - $4,888 | 10% |
| P3 Health Partners | $405 - $1,925 | 10% |
| P3 Health Partners Nevada | $405 - $4,232 | 10% |
| Pli Las Vegas | $405 - $1,925 | 10% |
| Rebel Oil Company | $405 - $1,925 | 10% |
| Resorts World Las Vegas | $405 - $3,010 | 10% |
| Selecthealth | $405 - $6,263 | 10% |
| State Of Nevada | $405 - $1,925 | 10% |
| Stations Casinos | $405 - $1,925 | 10% |
| Teacher'S Health Trust | $405 - $1,925 | 10% |
| Truline Corporation | $405 - $1,925 | 10% |
| UnitedHealthcare | $405 - $4,232 | 10% |
| Va Pc3 (Va Choice) | $405 - $4,232 | 10% |
| Venetian/Palazzo | $405 - $1,925 | 10% |
| Wynn Resorts | $405 - $3,010 | 10% |
| Alignment Health | $426 - $4,232 | 11% |
| Scan | $426 - $4,232 | 11% |
| Clark County Firefighters 1908 | $450 - $3,010 | 11% |
| Coventry | $450 - $3,234 | 11% |
| Employee Painters Trust | $450 - $3,010 | 11% |
| Geha | $450 - $755 | 11% |
| Mail Handlers Benefit Plan | $450 - $3,234 | 11% |
| Nevada Energy | $450 - $3,234 | 11% |
| First Health | $454 - $4,148 | 11% |
| Health Net | $454 - $12,590 | 11% |
| Three Rivers Provider Network | $454 - $4,148 | 11% |
| Boyd Group | $476 - $3,010 | 12% |
| Bricklayers Local 13 | $476 - $3,010 | 12% |
| California Ironwork Field Welfare | $476 - $4,888 | 12% |
| Electrical Workers | $476 - $3,010 | 12% |
| Laborers Health And Welfare | $476 - $3,010 | 12% |
| Plumbers & Pipefitters Loc 525 | $476 - $3,010 | 12% |
| Sheet Metal Workers | $476 - $4,888 | 12% |
| So Ca Pipe Trades H&W | $476 - $4,888 | 12% |
| Southwest Carpenters H&W | $476 - $4,888 | 12% |
| Teamsters Local 14 | $476 - $3,010 | 12% |
| Teamsters Local 631 | $476 - $3,010 | 12% |
| Teamsters Local 986 | $476 - $3,010 | 12% |
| Ufcw Local 711 Retail Clerks | $476 - $3,010 | 12% |
| Culinary Workers Hwf | $499 - $3,010 | 12% |
| Laughlin Coalition | $565 - $5,777 | 14% |
| Hometown Health Plan Nevada | $608 - $755 | 15% |
| Jw Marriott | $608 - $8,464 | 15% |
| Nevada Preferred Professionals | $608 - $8,464 | 15% |
| One Health Plan | $608 - $2,470 | 15% |
| Prominence Health Plan | $608 - $8,464 | 15% |
| Universal Health Network (Uhn) | $608 - $8,464 | 15% |
| Health Direct Partners | $669 - $6,814 | 17% |
| Zuffa | $869 - $8,887 | 22% |
| Cigna | $920 - $8,412 | 23% |
| Cirque De Soleil | $920 - $8,412 | 23% |
| Great West Healthcare | $920 - $8,412 | 23% |
| Kaiser | $920 - $8,412 | 23% |
| National Security Technologies | $920 - $8,412 | 23% |
| American Postal Workers Health Plan | $1,647 | 41% |
| Surest | $1,647 | 41% |
| Hometown Health Plan Of Nevada | $2,470 | 62% |
| Las Vegas Firefighters 1285 | $3,010 | 75% |
| Nevada Hand | $3,010 | 75% |
| Switch | $3,010 | 75% |
| Clark County Detention Center | $4,444 | 111% |