CMS Price Transparency Data

Breast lump removal

Facility: West Tennessee Healthcare Bolivar Hospital

Billing Code: 19120 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$1,386
about 0.3× the $4,000 Medicare rate · typically $502–$3,236
modeled estimate · not a bill or quote
What this hospital charges insurers
$4,504
Well above the fair price
about $3,118 over the fair price · 1.1× Medicare
Medicare pays $4,000 Fair price $1,386 This hospital $4,504 Cash price $2,495 Hospital's list price $8,318

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 $4,504

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 $1,386 (about 0.3× the $4,000 Medicare rate). West Tennessee Healthcare Bolivar Hospital charges insurers about $4,504, or about $2,495 in cash — well above the fair price. Located in Bolivar, 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 $1,386. 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.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 $3,238 81%
Blue Cross Blue Shieldmajor $2,056 - $4,691 51%
Aetnamajor $5,739 143%
Cignamajor $2,071 52%
Oscar Health $5,935 148%
+ 2 smaller / regional plans $992 - $6,200
Government programs also on file: Military & VA.

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.

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Facility Profile & Credentials

  • Address: 650 Nuckolls Road, Bolivar, TN 38008
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals