CMS Price Transparency Data
Breast lump removal
Facility: Okeene Municipal Hospital
Billing Code: 19120 (CPT)
The BaseRate · fair price low confidence
A fair price for this
$1,107
about 0.3× the $4,000 Medicare rate · typically $390–$3,807
modeled estimate · not a bill or quote
Medicare pays $4,000 Fair price $1,107 Cash price $1,222 Hospital's list price $1,528
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
4 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser 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 | $379 | 9% |
| Blue Cross Blue Shieldmajor | $471 - $618 | 12% |
| Aetnamajor | $379 - $442 | 9% |
| Humanamajor | $360 - $455 | 9% |
| Healthcare Highways | $417 | 10% |
| Medica | $512 | 13% |
| + 4 smaller / regional plans | $341 - $493 |
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Other Procedures at Okeene Municipal Hospital
Compare: Breast lump removal at other OK hospitals
- Ascension St John Medical Center · Tulsa $710
- St John Owasso · Owasso $710
- Ascension St John Sapulpa · Sapulpa $710
- Ascension St John Jane Phillips · Bartlesville $873
- Ascension St John Nowata · Nowata $873
- Oklahoma Center for Orthopaedic & Multi-Sp · Oklahoma City $1,330
- Beaver County Memorial Hospital · Beaver $1,480
- Mangum Regional Medical Center · Mangum $2,117
Insurance negotiated median for the same procedure, sorted lowest first.