CMS Price Transparency Data

Breast lump removal

Facility: Highpoint Health-Riverview With Ascension Saint Th

Billing Code: 19120 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$1,989
about 0.5× the $4,000 Medicare rate · typically $588–$3,571
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,799
About the fair price
about $190 under the fair price · 0.4× Medicare
Medicare pays $4,000 Fair price $1,989 This hospital $1,799 Cash price $7,384 Hospital's list price $22,650

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 $1,799

Black dot = this hospital, among the 9 TN hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Breast lump removal is about $1,989 (about 0.5× the $4,000 Medicare rate). Highpoint Health-Riverview With Ascension Saint Th charges insurers about $1,799, or about $7,384 in cash — about the fair price. Located in Carthage, TN.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

2 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield AetnaCignaHumanaKaiser 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 $2,394 60%
Blue Cross Blue Shieldmajor $1,703 - $1,799 43%

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 158 Hospital Drive, Carthage, TN 37030
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Critical Access Hospitals