CMS Price Transparency Data

Breast lump removal

Facility: Christus Spohn Hospital Corpus Christi

Billing Code: 19120 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 19120
Insurance Median: $3,060
Cash Discount Price: Unavailable
vs. Medicare Baseline: 0.76x Medicare

The contracted insurance negotiated median rate for a Breast lump removal at Christus Spohn Hospital Corpus Christi is $3,060. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $4,000.24, this hospital’s rate is 0.76x the Medicare baseline. Located in 600 Elizabeth Street, Corpus Christi, TX.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,060

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%)

Insurance Median: $3,060 (76%)

Ins. Median: $3,060 (76% 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
UnitedHealthcare	$435 - $4,790	11%
Blue Cross Blue Shield	$964 - $3,724	24%
Molina	$964 - $3,724	24%
Superior	$964 - $3,724	24%
Driscoll Children'S Health Plan	$983	25%
Texas Childrens Health Plan	$1,012	25%
Cigna	$1,691 - $2,070	42%
Humana	$2,235 - $3,724	56%
Aetna	$2,581 - $3,724	65%
Healthcare Highways	$2,715	68%
Allwell	$3,724	93%
Christus Health	$3,724 - $5,214	93%
Coventry	$3,724	93%
Texas Healthspring	$3,724	93%
Triwest	$3,724	93%
Wellcare	$3,724	93%
Provider Partners Health Plan	$3,836	96%
Texas Independence Health Plan	$3,836	96%
Shared Health Insurance Company	$3,910	98%
Us Imaging Network	$3,985	100%
Five Point Credit Union	$4,020	100%
Amerigroup	$4,022	101%
Devoted Health Plan	$4,022	101%
Imperial Health Plan	$4,097	102%
Medicare (plans)	$4,097	102%
Procare Advantage	$4,097	102%
Naphcare Inc.	$7,449	186%

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 $X.
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 Christus Spohn Hospital Corpus Christi 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.