CMS Price Transparency Data

Breast lump removal

Facility: Jackson-Madison County General Hospital

Billing Code: 19120 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$3,572
about 0.9× the $4,000 Medicare rate · typically $1,766–$3,761
modeled estimate · not a bill or quote
What this hospital charges insurers
$3,659
About the fair price
about $87 over the fair price · 0.9× Medicare
Medicare pays $4,000 Fair price $3,572 This hospital $3,659 Cash price $2,495 Hospital's list price $8,318

How we calculate the fair BaseRate →

How this hospital compares to other TN hospitals

Highest price of the 9 TN hospitals we have prices for — worth calling around.

Cheapest $502 Priciest $3,659

Black dot = this hospital, among the 9 TN hospitals with a price for this procedure. Full list below.

A fair price for a Breast lump removal is about $3,572 (about 0.9× the $4,000 Medicare rate). Jackson-Madison County General Hospital charges insurers about $3,659, or about $2,495 in cash — about the fair price. Located in Jackson, TN.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 $3,238 81%
Blue Cross Blue Shieldmajor $3,659 - $5,337 91%
Aetnamajor $5,340 133%
Cignamajor $3,579 89%
Oscar Health $5,935 148%
+ 3 smaller / regional plans $1,292 - $8,318
Government programs also on file: Military & VA.

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Facility Profile & Credentials

  • Address: 620 Skyline Drive, Jackson, TN 38301
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals