CMS Price Transparency Data

Breast lump removal

Facility: MUSC Health Columbia Medical Center Downtown

Billing Code: 19120 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$4,196
about 1.0× the $4,000 Medicare rate · typically $3,597–$5,507
modeled estimate · not a bill or quote
What this hospital charges insurers
$4,131
About the fair price
about $65 under the fair price · 1.0× Medicare
Medicare pays $4,000 Fair price $4,196 This hospital $4,131

How we calculate the fair BaseRate →

How this hospital compares to other SC hospitals

Highest price of the 9 SC hospitals we have prices for — worth calling around.

Cheapest $496 Priciest $4,131

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 $4,196 (about 1.0× the $4,000 Medicare rate). MUSC Health Columbia Medical Center Downtown charges insurers about $4,131 — about the fair price. Located in Columbia, SC.

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 $9,839 246%
Blue Cross Blue Shieldmajor $3,130 - $7,790 78%
Aetnamajor $3,898 - $9,863 97%
Clover Health $3,860 96%
Molina $4,163 104%
+ 1 smaller / regional plan $4,069

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Facility Profile & Credentials

  • Address: 2435 Forest Drive, Columbia, SC 29204
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals