CMS Price Transparency Data

Breast lump removal

Facility: Southern Tennessee Regional Health System Winchest

Billing Code: 19120 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$3,667
about 0.9× the $4,000 Medicare rate · typically $1,495–$5,030
modeled estimate · not a bill or quote
What this hospital charges insurers
$2,218
Below the fair price — a good deal
about $1,449 under the fair price · 0.6× Medicare
Medicare pays $4,000 Fair price $3,667 This hospital $2,218 Cash price $5,504 Hospital's list price $22,285

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 $2,218

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 $3,667 (about 0.9× the $4,000 Medicare rate). Southern Tennessee Regional Health System Winchest charges insurers about $2,218, or about $5,504 in cash — below the fair price — a good deal. Located in Winchester, TN.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield AetnaCignaHumanaKaiser 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 $2,590 65%
Blue Cross Blue Shieldmajor $1,845 46%

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Facility Profile & Credentials

  • Address: 185 Hospital Road, Winchester, TN 37398
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals