Breast lump removal
Facility: Physicians Regional Medical Center
Billing Code: 19120 (CPT)
Highest price of the 9 TN hospitals we have prices for — worth calling around.
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 $3,045 (about 0.8× the $4,000 Medicare rate). Physicians Regional Medical Center charges insurers about $3,600, or about $4,714 in cash — above the fair price. Located in Powell, TN.
This price is above the fair BaseRate — you may be able to pay less
Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $3,045. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.
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
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 | $1,641 - $21,121 | 41% |
| Blue Cross Blue Shieldmajor | $994 - $6,090 | 25% |
| Aetnamajor | $2,089 - $3,600 | 52% |
| Cignamajor | $8,041 - $8,193 | 201% |
| Humanamajor | $3,496 | 87% |
| Ambetter (Centene) | $6,572 | 164% |
| Amerigroup | $1,991 - $3,670 | 50% |
| Cigna HealthSpring | $3,600 | 90% |
| Devoted Health | $3,565 | 89% |
| WellCare | $3,694 | 92% |
| + 9 smaller / regional plans | $373 - $6,572 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Estimate your out-of-pocket cost
A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
Other Procedures at Physicians Regional Medical Center
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.