CMS Price Transparency Data

Breast lump removal

Facility: Christus Santa Rosa Medical Center

Billing Code: 19120 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$3,561

about 0.9× the $4,000 Medicare rate · typically $2,906–$4,096

modeled estimate · not a bill or quote

What this hospital charges insurers

$3,420

About the fair price

about $141 under the fair price · 0.9× Medicare

Medicare pays $4,000 Fair price $3,561 This hospital $3,420 Cash price $1,685 Hospital's list price $5,106

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 $3,420

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 $3,561 (about 0.9× the $4,000 Medicare rate). Christus Santa Rosa Medical Center charges insurers about $3,420, or about $1,685 in cash — about the fair price. Located in San Antonio, 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	$417 - $5,148	10%
Blue Cross Blue Shieldmajor	$128 - $4,150	3%
Aetnamajor	$964 - $3,596	24%
Cignamajor	$1,302 - $6,600	33%
Humanamajor	$480 - $3,596	12%
Amerigroup	$422 - $3,883	11%
Cigna HealthSpring	$3,596	90%
Devoted Health	$3,883	97%
Healthcare Highways	$4,543	114%
Molina	$964 - $3,596	24%
WellCare	$3,596	90%
+ 22 smaller / regional plans	$422 - $6,356

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

Excludes 7 rental-network / third-party entries (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 (about 1,685), 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 Santa Rosa Medical Center 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 Santa Rosa Medical Center

Compare: Breast lump removal at other TX hospitals

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