CMS Price Transparency Data

Breast lump removal

Facility: Dunes Surgical Hospital

Billing Code: 19120 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$3,811
about 1.0× the $4,000 Medicare rate · typically $2,143–$4,779
modeled estimate · not a bill or quote
What this hospital charges insurers
$4,293
About the fair price
about $482 over the fair price · 1.1× Medicare
Medicare pays $4,000 Fair price $3,811 This hospital $4,293 Cash price $5,834 Hospital's list price $6,520

How we calculate the fair BaseRate →

How this hospital compares to other SD hospitals

Highest price of the 6 SD hospitals we have prices for — worth calling around.

Cheapest $1,043 Priciest $4,293

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

A fair price for a Breast lump removal is about $3,811 (about 1.0× the $4,000 Medicare rate). Dunes Surgical Hospital charges insurers about $4,293, or about $5,834 in cash — about the fair price. Located in Dakota Dunes, SD.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Cigna AetnaHumanaKaiser 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 $427 - $5,216 11%
Blue Cross Blue Shieldmajor $1,552 - $3,967 39%
Cignamajor $4,564 114%
Amerigroup $4,022 101%
HealthPartners $6,324 158%
Molina $4,006 100%
Oscar Health $4,629 116%
Sanford Health Plan $5,542 139%
+ 5 smaller / regional plans $3,890 - $5,542
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 600 N Sioux Point Road, Dakota Dunes, SD 57049
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals