CMS Price Transparency Data

Breast lump removal

Facility: Lexington Medical Center

Billing Code: 19120 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$4,394
about 1.1× the $4,000 Medicare rate · typically $3,597–$5,507
modeled estimate · not a bill or quote
What this hospital charges insurers
$4,915
About the fair price
about $521 over the fair price · 1.2× Medicare
Medicare pays $4,000 Fair price $4,394 This hospital $4,915

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 $4,915

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 $4,394 (about 1.1× the $4,000 Medicare rate). Lexington Medical Center charges insurers about $4,915 — about the fair price. Located in West Columbia, 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 $9,462 237%
Blue Cross Blue Shieldmajor $3,785 - $15,195 95%
Aetnamajor $4,050 101%
Cignamajor $18,965 474%
Humanamajor $4,012 100%
Ambetter (Centene) $6,812 170%
Molina $4,542 - $13,284 114%
+ 2 smaller / regional plans $3,974 - $13,889

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Facility Profile & Credentials

  • Address: 2720 Sunset Blvd, West Columbia, SC 29169
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals