CMS Price Transparency Data
Breast lump removal
Facility: Legacy Silverton Medical Center
Billing Code: 19120 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$3,676
about 0.9× the $4,000 Medicare rate · typically $2,646–$5,045
modeled estimate · not a bill or quote
Medicare pays $4,000 Fair price $3,676 Cash price $959 Hospital's list price $1,475
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✓ Kaiser Permanente CignaHumana
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 | $9,529 | 238% |
| Blue Cross Blue Shieldmajor | $7,096 | 177% |
| Aetnamajor | $4,617 | 115% |
| Kaiser Permanentemajor | $8,793 | 220% |
| + 2 smaller / regional plans | $4,397 - $4,836 |
Self-Pay How to get the cash price
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Other Procedures at Legacy Silverton Medical Center
Compare: Breast lump removal at other OR hospitals
- Saint Alphonsus Medical Center Ontario · Ontario $492
- Mid-Columbia Medical Center · The Dalles $617
- Samaritan North Lincoln Hospital · Lincoln City $624
- Samaritan Pacific Community Hospital · Newport $624
- Samaritan Lebanon Community Hospital · Lebanon $624
- Good Samaritan Regional Medical Center · Corvallis $631
- Samaritan Albany General Hospital · Albany $631
- Lower Umpqua Hospital District · Reedsport $695
Insurance negotiated median for the same procedure, sorted lowest first.