CMS Price Transparency Data

Breast lump removal

Facility: Memorial Healthcare System, Inc

Billing Code: 19120 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$3,207
about 0.8× the $4,000 Medicare rate · typically $1,464–$3,608
modeled estimate · not a bill or quote
What this hospital charges insurers
$2,694
Below the fair price — a good deal
about $513 under the fair price · 0.7× Medicare
Medicare pays $4,000 Fair price $3,207 This hospital $2,694

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 $2,694

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 $3,207 (about 0.8× the $4,000 Medicare rate). Memorial Healthcare System, Inc charges insurers about $2,694 — below the fair price — a good deal. Located in Chattanooga, 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 $2,036 - $4,070 51%
Blue Cross Blue Shieldmajor $167 - $3,567 4%
Cignamajor $1,993 - $3,602 50%
Humanamajor $2,519 - $3,773 63%
Ambetter (Centene) $6,449 161%
Amerigroup $512 - $3,670 13%
Health Net $2,005 50%
+ 2 smaller / regional plans $1,922 - $2,694
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 2525 Desales Ave, Chattanooga, TN 37404
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals