CMS Price Transparency Data

Breast lump removal

Facility: Prisma Health Greenville Memorial Hospital

Billing Code: 19120 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$3,055
about 0.8× the $4,000 Medicare rate · typically $1,647–$3,928
modeled estimate · not a bill or quote
What this hospital charges insurers
$3,878
Above the fair price
about $823 over the fair price · 1.0× Medicare
Medicare pays $4,000 Fair price $3,055 This hospital $3,878 Cash price $7,110 Hospital's list price $10,939

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 $3,878

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 $3,055 (about 0.8× the $4,000 Medicare rate). Prisma Health Greenville Memorial Hospital charges insurers about $3,878, or about $7,110 in cash — above the fair price. Located in Greenville, SC.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $3,055. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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 $1,685 - $3,842 42%
Blue Cross Blue Shieldmajor $3,697 - $9,277 92%
Aetnamajor $3,898 - $8,642 97%
Cignamajor $3,712 - $7,592 93%
Humanamajor $3,784 - $3,858 95%
Molina $4,083 102%
MVP Health Care $7,592 190%
WellCare $3,898 97%
+ 21 smaller / regional plans $1,242 - $10,173
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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.

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Facility Profile & Credentials

  • Address: 701 Grove Road, Greenville, SC 29605
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals