CMS Price Transparency Data

Breast lump removal

Facility: Wallowa Memorial Hospital

Billing Code: 19120 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$882
about 0.2× the $4,000 Medicare rate · typically $315–$3,080
modeled estimate · not a bill or quote
Medicare pays $4,000 Fair price $882 Cash price $1,397 Hospital's list price $1,397

How we calculate the fair BaseRate →

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✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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 $625 16%
Blue Cross Blue Shieldmajor $61 2%
Aetnamajor $574 14%
+ 1 smaller / regional plan $804

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 601 Medical Parkway, Enterprise, OR 97828
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals