CMS Price Transparency Data

Breast lump removal

Facility: Williamson Medical Center

Billing Code: 19120 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$1,906

about 0.5× the $4,000 Medicare rate · typically $525–$3,749

modeled estimate · not a bill or quote

What this hospital charges insurers

$502

Below the fair price — a good deal

about $1,404 under the fair price · 0.1× Medicare

Medicare pays $4,000 Fair price $1,906 This hospital $502

How we calculate the fair BaseRate →

How this hospital compares to other TN hospitals

Lowest price of the 9 TN hospitals we have prices for — a strong deal.

Cheapest $502 Priciest $1,706

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 $1,906 (about 0.5× the $4,000 Medicare rate). Williamson Medical Center charges insurers about $502 — below the fair price — a good deal. Located in Franklin, 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	$288 - $4,119	7%
Blue Cross Blue Shieldmajor	$405 - $4,767	10%
Aetnamajor	$405 - $3,667	10%
Cignamajor	$288 - $9,472	7%
Humanamajor	$405 - $4,015	10%
Ambetter (Centene)	$405 - $6,051	10%
Amerigroup	$288 - $3,777	7%
Devoted Health	$405 - $3,741	10%
Oscar Health	$5,308	133%
WellCare	$405 - $3,741	10%
+ 5 smaller / regional plans	$405 - $4,584

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price, before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 19120.

Insurance Before you use insurance

Call your insurance company to confirm Williamson Medical Center is in-network.
Ask your insurer whether prior approval is required for CPT code 19120.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Williamson Medical Center

Compare: Breast lump removal at other TN hospitals

Erlanger Medical Center · Chattanooga $751
University Health System, Inc · Knoxville $819
Dekalb Community Hospital · Smithville $1,509
Saint Thomas Highlands Hospital · Sparta $1,509
Stones River Hospital · Woodbury $1,535
Saint Thomas Hickman Hospital · Centerville $1,535
Saint Thomas Rutherford Hospital · Murfreesboro $1,706
Ascension Saint Thomas Hospital · Nashville $1,706

Insurance negotiated median for the same procedure, sorted lowest first.