CMS Price Transparency Data

Breast lump removal

Facility: Methodist Hospitals of Memphis

Billing Code: 19120 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$3,626
about 0.9× the $4,000 Medicare rate · typically $2,536–$6,485
modeled estimate · not a bill or quote
What this hospital charges insurers
$3,506
About the fair price
about $120 under the fair price · 0.9× Medicare
Medicare pays $4,000 Fair price $3,626 This hospital $3,506 Cash price $4,804 Hospital's list price $21,835

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 $3,506

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 $3,626 (about 0.9× the $4,000 Medicare rate). Methodist Hospitals of Memphis charges insurers about $3,506, or about $4,804 in cash — about the fair price. Located in Memphis, 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✓ Cigna✓ Humana AetnaKaiser 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 $1,072 - $7,320 27%
Blue Cross Blue Shieldmajor $1,074 - $3,506 27%
Cignamajor $1,872 - $7,320 47%
Humanamajor $3,506 88%
Devoted Health $3,612 90%
Molina $2,824 - $5,295 71%
+ 6 smaller / regional plans $3,506 - $6,424
Government programs also on file: Medicare, Medicaid, Military & VA.

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Facility Profile & Credentials

  • Address: 1265 Union Ave Suite 700, Memphis, TN 38104
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals