CMS Price Transparency Data

Breast lump removal

Facility: Baptist Memorial Hospital Union City

Billing Code: 19120 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 19120
  • Insurance Median: $6,294
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.57x Medicare
The contracted insurance negotiated median rate for a Breast lump removal at Baptist Memorial Hospital Union City is $6,294. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $4,000.24, this hospital’s rate is 1.57x the Medicare baseline. Located in 1201 Bishop St, Po Box 310, Union City, TN.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$6,294

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$4,000.24

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $4,000.24 (100%)
Insurance Median: $6,294 (157%)
Ins. Median: $6,294 (157% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $4,000.24 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Blue Cross Blue Shield $936 - $4,814 23%
Cigna $2,600 - $4,720 65%
Wellpoint $3,042 - $3,671 76%
Triwest $3,357 84%
Vaccn $3,497 87%
Veterans Evaluation Services $3,497 87%
Humana $3,532 - $3,671 88%
Oscar $3,582 90%
Aetna $3,671 92%
American Health Plan $3,671 92%
Shared Health $3,671 92%
Arlington Community Schools $5,769 144%
Bartlett City Schools $5,769 144%
City Of Bartlett $5,769 144%
City Of Lakeland $5,769 144%
Collierville Schools $5,769 144%
Eas Mssc Schools $5,769 144%
Lakeland School System $5,769 144%
Town Of Collierville $5,769 144%
Magnolia Tn $5,903 148%
First State Bank Trust $5,944 149%
Armstrong Relocation $6,294 157%
Ashley Furniture Stores $6,294 157%
Brimhall Foods $6,294 157%
Building Plastic $6,294 157%
Burch Food Services $6,294 157%
Cannon Motor Company $6,294 157%
Carlisle $6,294 157%
Crittenden County $6,294 157%
Davidson Hospitality $6,294 157%
Desoto Co Board Of Supervisors $6,294 157%
Dunn Investment Company $6,294 157%
First Choice Health Plan Of Ms $6,294 157%
First Community Bank $6,294 157%
French Camp Academy $6,294 157%
Gossett Motor Cars $6,294 157%
Hattiesburg Clinic $6,294 157%
Heartland Catfish Company $6,294 157%
Heavy Machines $6,294 157%
Hollowell Industries $6,294 157%
Hospitality Management Advisors $6,294 157%
Jas D Collier $6,294 157%
Malco Theaters $6,294 157%
Mechanical Systems $6,294 157%
Mid-South Transport $6,294 157%
Patterson Warehouses $6,294 157%
Radians $6,294 157%
Rei Nation $6,294 157%
Retzer Resources $6,294 157%
Ritchey Automotive $6,294 157%
Security One $6,294 157%
Silver Tree $6,294 157%
State Systems $6,294 157%
United Tn Holdings $6,294 157%
Vaughn Electric $6,294 157%
W G Yates $6,294 157%
W W Wood Products $6,294 157%
Watkins Uiberall $6,294 157%
Y K Auto Group $6,294 157%
Employers Health Network $6,993 175%
Harding Academy $6,993 175%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1201 Bishop St, Po Box 310, Union City, TN 38261
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals