CMS Price Transparency Data

Breast lump removal

Facility: Peterson Regional Medical Center

Billing Code: 19120 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$3,008
about 0.8× the $4,000 Medicare rate · typically $1,091–$3,346
modeled estimate · not a bill or quote
What this hospital charges insurers
$2,236
Below the fair price — a good deal
about $772 under the fair price · 0.6× Medicare
Medicare pays $4,000 Fair price $3,008 This hospital $2,236

How we calculate the fair BaseRate →

How this hospital compares to other TX hospitals

Highest price of the 9 TX hospitals we have prices for — worth calling around.

Cheapest $458 Priciest $2,236

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

A fair price for a Breast lump removal is about $3,008 (about 0.8× the $4,000 Medicare rate). Peterson Regional Medical Center charges insurers about $2,236 — below the fair price — a good deal. Located in Kerrville, TX.

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✓ Humana CignaKaiser 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 $425 11%
Blue Cross Blue Shieldmajor $1,108 - $2,236 28%
Aetnamajor $3,668 92%
Humanamajor $3,596 90%
Ambetter (Centene) $4,315 108%
Devoted Health $3,883 97%
Government programs also on file: Medicaid.

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Facility Profile & Credentials

  • Address: 551 Hill Country Drive, Kerrville, TX 78028
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals