CMS Price Transparency Data

Breast lump removal

Facility: Cumberland Medical Center

Billing Code: 19120 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$3,854
about 1.0× the $4,000 Medicare rate · typically $2,787–$3,856
modeled estimate · not a bill or quote
What this hospital charges insurers
$3,857
About the fair price
about $3 over the fair price · 1.0× Medicare
Medicare pays $4,000 Fair price $3,854 This hospital $3,857

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 $3,857

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 $3,854 (about 1.0× the $4,000 Medicare rate). Cumberland Medical Center charges insurers about $3,857 — about the fair price. Located in Crossville, TN.

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 $1,354 - $4,044 34%
Blue Cross Blue Shieldmajor $2,310 - $4,036 58%
Aetnamajor $1,976 - $3,932 49%
Cignamajor $1,847 - $3,932 46%
Humanamajor $3,857 96%
Ambetter (Centene) $1,941 49%
Devoted Health $3,932 98%
WellCare $3,932 98%
+ 1 smaller / regional plan $3,558
Government programs also on file: Military & VA.

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Facility Profile & Credentials

  • Address: 421 S Main St, Crossville, TN 38555
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals