CMS Price Transparency Data

Breast lump removal

Facility: Christus Spohn Hospital Corpus Christi

Billing Code: 19120 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$2,569

about 0.6× the $4,000 Medicare rate · typically $982–$3,321

modeled estimate · not a bill or quote

What this hospital charges insurers

$2,969

Above the fair price

about $400 over the fair price · 0.7× Medicare

Medicare pays $4,000 Fair price $2,569 This hospital $2,969

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 $2,969

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 $2,569 (about 0.6× the $4,000 Medicare rate). Christus Spohn Hospital Corpus Christi charges insurers about $2,969 — above the fair price. Located in Corpus Christi, TX.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $2,569. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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	$435 - $4,790	11%
Blue Cross Blue Shieldmajor	$964 - $3,724	24%
Aetnamajor	$2,581 - $3,724	65%
Cignamajor	$1,691 - $2,070	42%
Humanamajor	$2,235 - $3,724	56%
Amerigroup	$4,022	101%
Cigna HealthSpring	$3,724	93%
Devoted Health	$4,022	101%
Healthcare Highways	$2,715	68%
Molina	$964 - $3,724	24%
WellCare	$3,724	93%
+ 12 smaller / regional plans	$964 - $5,214

Government programs also on file: Medicare, Military & VA.

Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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 Christus Spohn Hospital Corpus Christi 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 Christus Spohn Hospital Corpus Christi

Compare: Breast lump removal at other TX hospitals

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