CMS Price Transparency Data

Breast lump removal

Facility: Saint Mary's Regional Medical Center

Billing Code: 19120 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$4,415
about 1.1× the $4,000 Medicare rate · typically $1,116–$5,001
modeled estimate · not a bill or quote
What this hospital charges insurers
$4,344
About the fair price
about $71 under the fair price · 1.1× Medicare
Medicare pays $4,000 Fair price $4,415 This hospital $4,344 Cash price $4,258 Hospital's list price $11,528

How we calculate the fair BaseRate →

How this hospital compares to other NV hospitals

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

Cheapest $521 Priciest $4,344

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 $4,415 (about 1.1× the $4,000 Medicare rate). Saint Mary's Regional Medical Center charges insurers about $4,344, or about $4,258 in cash — about the fair price. Located in Reno, NV.

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 $1,969 - $4,387 49%
Blue Cross Blue Shieldmajor $967 - $8,212 24%
Aetnamajor $2,809 - $4,259 70%
HealthPartners $7,913 198%
Molina $397 - $4,259 10%
+ 16 smaller / regional plans $822 - $9,668
Government programs also on file: Medicare, Medicaid, 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: 235 W 6Th St, Reno, NV 89503
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals