CMS Price Transparency Data

Breast lump removal

Facility: Coshocton Regional Medical Center

Billing Code: 19120 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$3,853
about 1.0× the $4,000 Medicare rate · typically $3,213–$4,197
modeled estimate · not a bill or quote
What this hospital charges insurers
$3,200
Below the fair price — a good deal
about $653 under the fair price · 0.8× Medicare
Medicare pays $4,000 Fair price $3,853 This hospital $3,200 Hospital's list price $3,200

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 $3,200

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 $3,853 (about 1.0× the $4,000 Medicare rate). Coshocton Regional Medical Center charges insurers about $3,200 — below the fair price — a good deal. Located in Coshocton, 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

✓ UnitedHealthcare✓ Blue Cross Blue Shield AetnaCignaHumanaKaiser 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 $3,200 80%
Blue Cross Blue Shieldmajor $3,200 80%
AmeriHealth $3,200 80%
Devoted Health $3,200 80%
Molina $3,200 80%
Paramount $3,200 80%
+ 12 smaller / regional plans $1,358 - $3,200
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1460 Orange Street, Coshocton, OH 43812
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals