CMS Price Transparency Data

Breast lump removal

Facility: Mercer County Joint Township Community Hospital

Billing Code: 19120 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$4,394
about 1.1× the $4,000 Medicare rate · typically $3,207–$4,501
modeled estimate · not a bill or quote
What this hospital charges insurers
$4,501
About the fair price
about $107 over the fair price · 1.1× Medicare
Medicare pays $4,000 Fair price $4,394 This hospital $4,501

How we calculate the fair BaseRate →

How this hospital compares to other OH hospitals

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

Cheapest $479 Priciest $4,501

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

A fair price for a Breast lump removal is about $4,394 (about 1.1× the $4,000 Medicare rate). Mercer County Joint Township Community Hospital charges insurers about $4,501 — about the fair price. Located in Coldwater, OH.

What each insurance company pays

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

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

✓ Aetna✓ Humana UnitedHealthcareBlue Cross Blue ShieldCignaKaiser 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
Aetnamajor $3,815 95%
Humanamajor $3,760 94%
CareSource $5,742 144%
Medical Mutual $5,186 130%
Molina $6,112 153%
Paramount $3,778 94%
+ 1 smaller / regional plan $3,704 - $6,038

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Facility Profile & Credentials

  • Address: 800 West Main Street, Coldwater, OH 45828
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals