CMS Price Transparency Data
Breast lump removal
Facility: Douglas County Memorial Hospital-Cah
Billing Code: 19120 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$636
about 0.2× the $4,000 Medicare rate · typically $403–$2,845
modeled estimate · not a bill or quote
Medicare pays $4,000 Fair price $636 Cash price $1,218 Hospital's list price $1,353
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
2 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield AetnaCignaHumanaKaiser 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 | $1,150 | 29% |
| Blue Cross Blue Shieldmajor | $1,353 | 34% |
| Sanford Health Plan | $441 - $1,312 | 11% |
| + 1 smaller / regional plan | $1,285 |
Self-Pay How to get the cash price
Insurance Before you use insurance
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Other Procedures at Douglas County Memorial Hospital-Cah
Compare: Breast lump removal at other SD hospitals
- Huron Regional Medical Center · Huron $1,043
- Black Hills Surgical Hospital LLC · Rapid City $1,145
- Monument Health Rapid City Hospital · Rapid City $3,890
- Sanford Usd Medical Center · Sioux Falls $3,944
- Sanford Medical Center Aberdeen · Aberdeen $3,944
- Dunes Surgical Hospital · Dakota Dunes $4,293
Insurance negotiated median for the same procedure, sorted lowest first.