CMS Price Transparency Data

Breast lump removal

Facility: University Medical Center

Billing Code: 19120 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$644

about 0.2× the $4,000 Medicare rate · typically $438–$1,511

modeled estimate · not a bill or quote

What this hospital charges insurers

$608

About the fair price

about $36 under the fair price · 0.2× Medicare

Medicare pays $4,000 Fair price $644 This hospital $608 Cash price $879 Hospital's list price $2,834

How we calculate the fair BaseRate →

How this hospital compares to other NV hospitals

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

Cheapest $521 Priciest $4,232

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

A fair price for a Breast lump removal is about $644 (about 0.2× the $4,000 Medicare rate). University Medical Center charges insurers about $608, or about $879 in cash — about the fair price. Located in Las Vegas, NV.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Kaiser Permanente Humana

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	$405 - $4,232	10%
Blue Cross Blue Shieldmajor	$405 - $4,888	10%
Aetnamajor	$362 - $7,406	9%
Cignamajor	$920 - $8,412	23%
Kaiser Permanentemajor	$920 - $8,412	23%
Ambetter (Centene)	$389 - $6,560	10%
GEHA	$450 - $755	11%
Health Net	$454 - $12,590	11%
HealthPartners	$405 - $4,232	10%
Molina	$389 - $6,263	10%
SelectHealth	$405 - $6,263	10%
+ 69 smaller / regional plans	$295 - $8,887

Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 879), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 19120.

Insurance Before you use insurance

Call your insurance company to confirm University Medical Center is in-network.
Ask your insurer whether prior approval is required for CPT code 19120.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

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

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at University Medical Center

Compare: Breast lump removal at other NV hospitals

Insurance negotiated median for the same procedure, sorted lowest first.