CMS Price Transparency Data

Breast lump removal

Facility: University Medical Center of El Paso

Billing Code: 19120 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$2,335

about 0.6× the $4,000 Medicare rate · typically $977–$4,759

modeled estimate · not a bill or quote

What this hospital charges insurers

$973

Below the fair price — a good deal

about $1,362 under the fair price · 0.2× Medicare

Medicare pays $4,000 Fair price $2,335 This hospital $973

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 $973

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 $2,335 (about 0.6× the $4,000 Medicare rate). University Medical Center of El Paso charges insurers about $973 — below the fair price — a good deal. Located in El Paso, TX.

What each insurance company pays

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

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

✓ UnitedHealthcare Blue Cross Blue ShieldAetnaCignaHumanaKaiser 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	$6,595	165%
Amerigroup	$964	24%
Health Net	$899	22%
Molina	$1,060	26%
+ 2 smaller / regional plans	$964 - $983

Government programs also on file: Medicaid.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price, before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 19120.

Insurance Before you use insurance

Call your insurance company to confirm University Medical Center of El Paso is in-network.
Ask your insurer whether prior approval is required for CPT code 19120.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at University Medical Center of El Paso

Compare: Breast lump removal at other TX hospitals

Insurance negotiated median for the same procedure, sorted lowest first.