CMS Price Transparency Data

Breast lump removal

Facility: Parkland Health & Hospital System

Billing Code: 19120 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 19120
Insurance Median: $4,327
Cash Discount Price: $7,344
vs. Medicare Baseline: 1.08x Medicare

The contracted insurance negotiated median rate for a Breast lump removal at Parkland Health & Hospital System is $4,327. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $7,344. Compared to the federal Medicare reimbursement reference rate of $4,000.24, this hospital’s rate is 1.08x the Medicare baseline. Located in 5200 Harry Hines Blvd, Dallas, TX.

Cash / Self-Pay

$7,344

Average discount available for prompt cash payment at this facility.

Insurance Median

$4,327

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%)

Cash / Self-Pay: $7,344 (184%)

Insurance Median: $4,327 (108%)

Cash: $7,344 (184% of Medicare)

Ins. Median: $4,327 (108% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Cook Children Health Plan [1380]	$1,012 - $1,144	25%
Wellpoint [1007]	$1,014 - $5,294	25%
Aetna	$1,064 - $12,375	27%
Parkland Community Health Plan [1056]	$1,064 - $5,558	27%
Superior Health Plan [1402]	$1,064	27%
Molina [1382]	$1,115 - $5,823	28%
Point Comfort Underwriters [1801]	$1,115 - $1,198	28%
Care Improvement Plus [1104]	$1,506 - $4,311	38%
Procare Advantage [2104]	$1,527 - $4,372	38%
Cigna	$3,386 - $12,375	85%
Medicare (plans)	$3,609 - $4,548	90%
UnitedHealthcare	$3,626 - $13,757	91%
Wellcare Of Texas [1330]	$3,626 - $4,331	91%
Superior Healthplan [1383]	$3,764 - $4,255	94%
Great West Healthcare [1037]	$4,322 - $12,375	108%
Blue Cross Blue Shield	$4,605 - $14,850	115%
Molina Aca [1337]	$5,180 - $6,187	129%
Triwest Healthcare Alliance [1409]	$12,949 - $15,469	324%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $7,344.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 19120.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Parkland Health & Hospital System is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 19120.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.