CMS Price Transparency Data
Breast lump removal
Facility: Maury Regional Hospital
Billing Code: 19120 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$2,514
about 0.6× the $4,000 Medicare rate · typically $747–$3,763
modeled estimate · not a bill or quote
Medicare pays $4,000 Fair price $2,514 Cash price $1,623 Hospital's list price $3,453
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 | $1,650 - $4,649 | 41% |
| Blue Cross Blue Shieldmajor | $1,054 - $6,274 | 26% |
| Aetnamajor | $3,108 - $4,197 | 78% |
| Cignamajor | $3,060 - $3,553 | 76% |
| Humanamajor | $3,048 - $3,553 | 76% |
| Ambetter (Centene) | $6,218 - $8,391 | 155% |
| Oscar Health | $8,510 - $9,061 | 213% |
| WellCare | $3,438 - $3,660 | 86% |
| + 9 smaller / regional plans | $1,726 - $4,977 |
Government programs also on file: Medicare.
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Maury Regional Hospital
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.