CMS Price Transparency Data

Breast lump removal

Facility: Monument Health Rapid City Hospital

Billing Code: 19120 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$2,462
about 0.6× the $4,000 Medicare rate · typically $1,057–$3,910
modeled estimate · not a bill or quote
What this hospital charges insurers
$3,890
Above the fair price
about $1,428 over the fair price · 1.0× Medicare
Medicare pays $4,000 Fair price $2,462 This hospital $3,890 Cash price $31,609 Hospital's list price $31,609

How we calculate the fair BaseRate →

How this hospital compares to other SD hospitals

A typical price — 3 charge more and 2 charge less, among the 6 SD hospitals compared.

Cheapest $1,043 Priciest $4,293

Black dot = this hospital, among the 6 SD hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Breast lump removal is about $2,462 (about 0.6× the $4,000 Medicare rate). Monument Health Rapid City Hospital charges insurers about $3,890, or about $31,609 in cash — above the fair price. Located in Rapid City, SD.

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 $2,462. 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 $3,890 - $20,111 97%
Blue Cross Blue Shieldmajor $2,724 - $3,890 68%
Aetnamajor $28,448 - $30,267 711%
Cignamajor $30,267 757%
Humanamajor $3,890 - $28,448 97%
HealthPartners $3,890 - $18,924 97%
Medica $26,235 656%
PacificSource $26,867 672%
Sanford Health Plan $25,431 636%
+ 16 smaller / regional plans $3,890 - $30,267
Government programs also on file: Medicare, Military & VA.
Excludes 2 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: 353 Fairmont Blvd, Rapid City, SD 57701
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals