CMS Price Transparency Data

Breast lump removal

Facility: Prisma Health North Greenville Ltach

Billing Code: 19120 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$1,504
about 0.4× the $4,000 Medicare rate · typically $733–$5,124
modeled estimate · not a bill or quote
What this hospital charges insurers
$3,938
Well above the fair price
about $2,434 over the fair price · 1.0× Medicare
Medicare pays $4,000 Fair price $1,504 This hospital $3,938 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 $3,938

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 $1,504 (about 0.4× the $4,000 Medicare rate). Prisma Health North Greenville Ltach charges insurers about $3,938, or about $7,110 in cash — well above the fair price. Located in Travelers Rest, 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 $1,504. 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 - $3,882 42%
Blue Cross Blue Shieldmajor $3,697 - $9,277 92%
Aetnamajor $3,938 - $8,642 98%
Cignamajor $3,751 - $7,592 94%
Humanamajor $818 - $3,901 20%
Molina $4,126 103%
MVP Health Care $7,592 190%
WellCare $3,938 98%
+ 20 smaller / regional plans $765 - $10,173
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 5 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.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 807 N Main St, Travelers Rest, SC 29690
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL