Breast lump removal
Facility: Prisma Health Oconee Memorial Hospital
Billing Code: 19120 (CPT)
Highest price of the 9 SC hospitals we have prices for — worth calling around.
Black dot = this hospital, among the 9 SC hospitals with a price for this procedure. Full list below.
A fair price for a Breast lump removal is about $4,382 (about 1.1× the $4,000 Medicare rate). Prisma Health Oconee Memorial Hospital charges insurers about $4,137, or about $7,110 in cash — about the fair price. Located in Seneca, SC.
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
5 of 6 major insurers have a published price at this hospital
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 | $1,685 - $4,127 | 42% |
| Blue Cross Blue Shieldmajor | $889 - $6,539 | 22% |
| Aetnamajor | $4,186 - $8,642 | 105% |
| Cignamajor | $3,987 - $7,592 | 100% |
| Humanamajor | $1,258 - $4,147 | 31% |
| Molina | $4,386 | 110% |
| MVP Health Care | $7,592 | 190% |
| WellCare | $4,186 | 105% |
| + 21 smaller / regional plans | $1,060 - $10,173 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Estimate your out-of-pocket cost
A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
Other Procedures at Prisma Health Oconee Memorial Hospital
Compare: Breast lump removal at other SC hospitals
- Anmed Health · Anderson $496
- Piedmont Medical Center · Rock Hill $2,595
- Prisma Health Greer Memorial Hospital · Spartanburg $3,452
- MUSC Medical Center · Charleston $3,714
- Roper Hospital · Charleston $3,714
- Coastal Carolina Hospital · Hardeeville $3,722
- East Cooper Medical Center · Mount Pleasant $3,751
- Novant Health Hilton Head Medical Center · Hilton Head Island $3,787
Insurance negotiated median for the same procedure, sorted lowest first.