Breast lump removal
Facility: Coastal Carolina Hospital
Billing Code: 19120 (CPT)
This hospital's typical commercial price is $3,722 compared to the $3,869 fair price benchmark.
4-Star CMS clinical quality rating paired with 0.96× fair market pricing.
On the higher side — 7 of 8 other SC hospitals charge less.
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 $3,869 (about 1.0× the $4,000 Medicare rate). Coastal Carolina Hospital charges insurers about $3,722, or about $4,573 in cash — about the fair price. Located in Hardeeville, 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
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 | $3,642 - $21,062 | 91% |
| Blue Cross Blue Shieldmajor | $3,722 - $7,154 | 93% |
| Aetnamajor | $3,642 | 91% |
| Cignamajor | $3,751 | 94% |
| Humanamajor | $822 - $3,642 | 21% |
| Clover Health | $3,787 | 95% |
| Devoted Health | $3,642 | 91% |
| Molina | $822 - $6,009 | 21% |
| SelectHealth | $822 - $6,956 | 21% |
| + 1 smaller / regional plan | $863 - $6,009 |
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.
Other Procedures at Coastal Carolina Hospital
Compare: Breast lump removal at other SC hospitals
- Cannon Memorial Hospital · Pickens $435
- Anmed Health · Anderson $496
- Piedmont Medical Center · Rock Hill $2,595
- Prisma Health Greer Memorial Hospital · Spartanburg $3,452
- Beaufort County Memorial Hospital · Beaufort $3,523
- MUSC Medical Center · Charleston $3,714
- Roper Hospital · Charleston $3,714
- East Cooper Medical Center · Mount Pleasant $3,751
Insurance negotiated median for the same procedure, sorted lowest first.
Audit a Bill or Quote at Coastal Carolina Hospital (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $3,243
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $3,243).
Self-Pay Cash Rate ($4,573) Beats Your Bill
Coastal Carolina Hospital's published 45 CFR § 180 self-pay cash rate is $4,573 (vs. $3,722 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $3,869 Fair BaseRate ($4,000 Medicare)
Your bill ($8,933) is $5,064 above the denoised Fair BaseRate ($3,869) and 2.2× the $4,000 Medicare rate.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.