CMS Price Transparency Data

Breast lump removal

Facility: Covenant Medical Center

Billing Code: 19120 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$5,496
about 1.4× the $4,000 Medicare rate · typically $3,913–$8,222
modeled estimate · not a bill or quote
What this hospital charges insurers
$5,098
About the fair price
about $398 under the fair price · 1.3× Medicare
Medicare pays $4,000 Fair price $5,496 This hospital $5,098

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 $5,098

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 $5,496 (about 1.4× the $4,000 Medicare rate). Covenant Medical Center charges insurers about $5,098 — about the fair price. Located in Lubbock, 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✓ 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 $4,150 - $7,215 104%
Blue Cross Blue Shieldmajor $4,635 - $6,423 116%
Aetnamajor $2,689 - $5,313 67%
Cignamajor $5,769 - $6,381 144%
Baylor Scott & White $2,601 - $4,309 65%
+ 2 smaller / regional plans $5,098 - $10,028
Government programs also on file: Medicaid.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 3615 19Th Street, Lubbock, TX 79410
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals