CMS Price Transparency Data

Breast lump removal

Facility: Ascension St John Nowata

Billing Code: 19120 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$1,638
about 0.4× the $4,000 Medicare rate · typically $432–$6,008
modeled estimate · not a bill or quote
What this hospital charges insurers
$873
Below the fair price — a good deal
about $765 under the fair price · 0.2× Medicare
Medicare pays $4,000 Fair price $1,638 This hospital $873

How we calculate the fair BaseRate →

How this hospital compares to other OK hospitals

A typical price — 4 charge more and 3 charge less, among the 9 OK hospitals compared.

Cheapest $710 Priciest $2,288

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 $1,638 (about 0.4× the $4,000 Medicare rate). Ascension St John Nowata charges insurers about $873 — below the fair price — a good deal. Located in Nowata, 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✓ Aetna UnitedHealthcareCignaHumanaKaiser 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 $873 22%
Aetnamajor $456 11%
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: 237 South Locust Street, Nowata, OK 74048
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals