CMS Price Transparency Data
Breast lump removal
Facility: Sky Lakes Medical Center
Billing Code: 19120 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$3,838
about 1.0× the $4,000 Medicare rate · typically $2,318–$4,043
modeled estimate · not a bill or quote
Medicare pays $4,000 Fair price $3,838 Cash price $3,158 Hospital's list price $4,211
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
6 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser 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 | $4,211 - $4,253 | 105% |
| Blue Cross Blue Shieldmajor | $4,211 - $10,655 | 105% |
| Aetnamajor | $4,211 - $4,253 | 105% |
| Cignamajor | $4,211 - $4,253 | 105% |
| Humanamajor | $4,211 - $4,253 | 105% |
| Kaiser Permanentemajor | $4,211 - $4,253 | 105% |
| GEHA | $4,211 | 105% |
| Health Net | $4,211 | 105% |
| HealthPartners | $4,211 | 105% |
| Moda Health | $3,474 - $4,253 | 87% |
| MVP Health Care | $4,211 | 105% |
| PacificSource | $3,790 - $4,253 | 95% |
| Providence Health Plan | $4,211 - $4,253 | 105% |
| Sanford Health Plan | $4,211 | 105% |
| UPMC Health Plan | $4,211 | 105% |
| WellCare | $4,253 | 106% |
| + 201 smaller / regional plans | $4,211 - $4,253 |
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 19 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Sky Lakes 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.