Breast lump removal
Facility: Claiborne Medical Center
Billing Code: 19120 (CPT)
Highest price of the 9 TN hospitals we have prices for — worth calling around.
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 $3,172 (about 0.8× the $4,000 Medicare rate). Claiborne Medical Center charges insurers about $3,857 — above the fair price. Located in Tazewell, TN.
This price is above the fair BaseRate — you may be able to pay less
Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $3,172. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.
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
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 | $1,403 - $4,044 | 35% |
| 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 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Estimate your out-of-pocket cost
A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
Other Procedures at Claiborne Medical Center
Compare: Breast lump removal at other TN hospitals
- Williamson Medical Center · Franklin $502
- 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
Insurance negotiated median for the same procedure, sorted lowest first.