CMS Price Transparency Data

Breast lump removal

Facility: St Mary's Regional Medical Center

Billing Code: 19120 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$4,701
about 1.2× the $4,000 Medicare rate · typically $2,240–$6,926
modeled estimate · not a bill or quote
What this hospital charges insurers
$4,000
Below the fair price — a good deal
about $701 under the fair price · 1.0× Medicare
Medicare pays $4,000 Fair price $4,701 This hospital $4,000 Cash price $3,857 Hospital's list price $9,643

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 $4,000

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 $4,701 (about 1.2× the $4,000 Medicare rate). St Mary's Regional Medical Center charges insurers about $4,000, or about $3,857 in cash — below the fair price — a good deal. Located in Enid, OK.

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✓ Cigna Blue Cross Blue ShieldHumanaKaiser 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 $4,414 110%
Aetnamajor $3,883 - $4,447 97%
Cignamajor $1,789 45%
GEHA $7,086 - $8,114 177%
+ 2 smaller / regional plans $4,000 - $6,510
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 305 South 5Th Street, Enid, OK 73701
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals