CMS Price Transparency Data

Breast lump removal

Facility: Mission Regional Medical Center

Billing Code: 19120 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$4,111
about 1.0× the $4,000 Medicare rate · typically $2,247–$4,150
modeled estimate · not a bill or quote
What this hospital charges insurers
$4,110
About the fair price
about $1 under the fair price · 1.0× Medicare
Medicare pays $4,000 Fair price $4,111 This hospital $4,110 Cash price $3,914 Hospital's list price $13,005

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 $4,110

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 $4,111 (about 1.0× the $4,000 Medicare rate). Mission Regional Medical Center charges insurers about $4,110, or about $3,914 in cash — about the fair price. Located in Mission, 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 $3,914 98%
Blue Cross Blue Shieldmajor $3,757 - $4,363 94%
Aetnamajor $3,914 98%
Cignamajor $1,922 - $4,031 48%
Molina $4,110 - $6,067 103%
WellMed $3,914 98%
+ 7 smaller / regional plans $3,914 - $7,828
Government programs also on file: Medicare, Medicaid, Military & VA.
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: 900 South Bryan Road, Mission, TX 78572
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals