CMS Price Transparency Data
Breast lump removal
Facility: Metro Nashville General Hospital
Billing Code: 19120 (CPT)
The BaseRate · fair price low confidence
A fair price for this
$2,623
about 0.7× the $4,000 Medicare rate · typically $372–$3,995
modeled estimate · not a bill or quote
Medicare pays $4,000 Fair price $2,623 Cash price $5,156 Hospital's list price $8,594
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 | $211 - $383 | 5% |
| Blue Cross Blue Shieldmajor | $479 - $633 | 12% |
| Aetnamajor | $383 - $4,727 | 10% |
| Cignamajor | $383 - $454 | 10% |
| Humanamajor | $383 | 10% |
| Ambetter (Centene) | $536 | 13% |
| Amerigroup | $335 | 8% |
| UPMC Health Plan | $383 | 10% |
| WellCare | $383 | 10% |
| + 6 smaller / regional plans | $250 - $651 |
Government programs also on file: Medicare.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Metro Nashville General 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.