CMS Price Transparency Data

Breast lump removal

Facility: Duncan Regional Hospital, Inc

Billing Code: 19120 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$7,424
about 1.9× the $4,000 Medicare rate · typically $1,604–$12,637
modeled estimate · not a bill or quote
What this hospital charges insurers
$5,893
Below the fair price — a good deal
about $1,531 under the fair price · 1.5× Medicare
Medicare pays $4,000 Fair price $7,424 This hospital $5,893 Cash price $7,807

How we calculate the fair BaseRate →

How this hospital compares to other OK hospitals

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

Cheapest $710 Priciest $5,893

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

A fair price for a Breast lump removal is about $7,424 (about 1.9× the $4,000 Medicare rate). Duncan Regional Hospital, Inc charges insurers about $5,893, or about $7,807 in cash — below the fair price — a good deal. Located in Duncan, OK.

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

✓ Blue Cross Blue Shield✓ Humana UnitedHealthcareAetnaCignaKaiser 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
Blue Cross Blue Shieldmajor $5,598 - $8,789 140%
Humanamajor $3,904 98%
Friday Health $9,954 249%

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Facility Profile & Credentials

  • Address: 1407 Whisenant Drive, Duncan, OK 73533
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals