CMS Price Transparency Data

Breast lump removal

Facility: Permian Regional Medical Center Andrews County Ho

Billing Code: 19120 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$3,416

about 0.9× the $4,000 Medicare rate · typically $2,597–$3,726

modeled estimate · not a bill or quote

What this hospital charges insurers

$3,388

About the fair price

about $28 under the fair price · 0.8× Medicare

Medicare pays $4,000 Fair price $3,416 This hospital $3,388 Cash price $2,138 Hospital's list price $4,275

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 $3,388

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 $3,416 (about 0.9× the $4,000 Medicare rate). Permian Regional Medical Center Andrews County Ho charges insurers about $3,388, or about $2,138 in cash — about the fair price. Located in Andrews, TX.

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	$2,515	63%
Blue Cross Blue Shieldmajor	$2,779 - $3,775	69%
Aetnamajor	$417 - $6,292	10%
Cignamajor	$2,907	73%
Humanamajor	$1,350 - $3,596	34%
Molina	$3,596	90%
+ 2 smaller / regional plans	$1,000 - $3,420

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 (about 2,138), 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 Permian Regional Medical Center Andrews County Ho 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 Permian Regional Medical Center Andrews County Ho

Compare: Breast lump removal at other TX hospitals

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