CMS Price Transparency Data

Breast lump removal

Facility: Anmed Health

Billing Code: 19120 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$569

about 0.1× the $4,000 Medicare rate · typically $500–$1,629

modeled estimate · not a bill or quote

What this hospital charges insurers

$496

Below the fair price — a good deal

about $73 under the fair price · 0.1× Medicare

Medicare pays $4,000 Fair price $569 This hospital $496 Cash price $475 Hospital's list price $950

How we calculate the fair BaseRate →

How this hospital compares to other SC hospitals

Lowest price of the 9 SC hospitals we have prices for — a strong deal.

Cheapest $496 Priciest $3,815

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 $569 (about 0.1× the $4,000 Medicare rate). Anmed Health charges insurers about $496, or about $475 in cash — below the fair price — a good deal. Located in Anderson, 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

✓ 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 - $794	10%
Blue Cross Blue Shieldmajor	$384 - $541	10%
Aetnamajor	$384 - $756	10%
Cignamajor	$395 - $822	10%
Humanamajor	$291 - $1,106	7%
Ambetter (Centene)	$549 - $676	14%
Bright Health	$397 - $612	10%
Devoted Health	$384 - $482	10%
GEHA	$657 - $794	16%
Molina	$395 - $686	10%
SelectHealth	$291 - $394	7%
+ 19 smaller / regional plans	$283 - $827

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.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 475), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 19120.

Insurance Before you use insurance

Call your insurance company to confirm Anmed Health is in-network.
Ask your insurer whether prior approval is required for CPT code 19120.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Anmed Health

Compare: Breast lump removal at other SC hospitals

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
MUSC Health Black River Medical Center · Cades $3,815

Insurance negotiated median for the same procedure, sorted lowest first.