CMS Price Transparency Data

Breast lump removal

Facility: Volunteer Community Hospital

Billing Code: 19120 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$3,711
about 0.9× the $4,000 Medicare rate · typically $2,000–$4,180
modeled estimate · not a bill or quote
What this hospital charges insurers
$4,170
About the fair price
about $459 over the fair price · 1.0× Medicare
Medicare pays $4,000 Fair price $3,711 This hospital $4,170 Cash price $2,495 Hospital's list price $8,318

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 $4,170

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 $3,711 (about 0.9× the $4,000 Medicare rate). Volunteer Community Hospital charges insurers about $4,170, or about $2,495 in cash — about the fair price. Located in Martin, TN.

What each insurance company pays

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

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

✓ Blue Cross Blue Shield✓ Aetna✓ Cigna UnitedHealthcareHumanaKaiser 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
Blue Cross Blue Shieldmajor $3,659 - $4,702 91%
Aetnamajor $4,209 - $5,340 105%
Cignamajor $4,014 100%
Oscar Health $5,935 148%
+ 2 smaller / regional plans $1,357 - $5,506
Government programs also on file: Military & VA.

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Facility Profile & Credentials

  • Address: 161 Mount Pelia Rd, Martin, TN 38237
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals