CMS Price Transparency Data
Breast lump removal
Facility: Cannon Memorial Hospital
Billing Code: 19120 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$594
about 0.1× the $4,000 Medicare rate · typically $495–$2,117
modeled estimate · not a bill or quote
Medicare pays $4,000 Fair price $594 Cash price $279 Hospital's list price $557
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
✓ 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 | $384 - $657 | 10% |
| Blue Cross Blue Shieldmajor | $384 - $552 | 10% |
| Aetnamajor | $384 - $614 | 10% |
| Cignamajor | $395 - $690 | 10% |
| Humanamajor | $291 - $1,106 | 7% |
| Ambetter (Centene) | $549 | 14% |
| Bright Health | $397 - $511 | 10% |
| Devoted Health | $384 - $391 | 10% |
| GEHA | $657 | 16% |
| Molina | $395 - $556 | 10% |
| SelectHealth | $291 - $319 | 7% |
| + 19 smaller / regional plans | $283 - $690 |
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Cannon 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.