CMS Price Transparency Data

Breast lump removal

Facility: Mercy Regional Medical Center

Billing Code: 19120 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$3,713
about 0.9× the $4,000 Medicare rate · typically $1,440–$4,224
modeled estimate · not a bill or quote
What this hospital charges insurers
$3,704
About the fair price
about $9 under the fair price · 0.9× Medicare
Medicare pays $4,000 Fair price $3,713 This hospital $3,704 Cash price $8,677 Hospital's list price $14,461

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 $3,704

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 $3,713 (about 0.9× the $4,000 Medicare rate). Mercy Regional Medical Center charges insurers about $3,704, or about $8,677 in cash — about the fair price. Located in Lorain, OH.

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✓ Aetna✓ Humana Blue 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
UnitedHealthcaremajor $3,704 93%
Aetnamajor $3,704 93%
Humanamajor $3,704 93%
CareSource $3,778 94%

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Facility Profile & Credentials

  • Address: 3700 Kolbe Road, Lorain, OH 44053
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals