CMS Price Transparency Data

Breast lump removal

Facility: Matagorda Regional Medical Center

Billing Code: 19120 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$2,137
about 0.5× the $4,000 Medicare rate · typically $755–$2,742
modeled estimate · not a bill or quote
What this hospital charges insurers
$2,128
About the fair price
about $9 under the fair price · 0.5× Medicare
Medicare pays $4,000 Fair price $2,137 This hospital $2,128

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 $2,128

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 $2,137 (about 0.5× the $4,000 Medicare rate). Matagorda Regional Medical Center charges insurers about $2,128 — about the fair price. Located in Bay City, TX.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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 $983 - $1,044 25%
Blue Cross Blue Shieldmajor $2,128 - $2,673 53%
Aetnamajor $809 20%

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Facility Profile & Credentials

  • Address: 104 7Th Street, Bay City, TX 77414
  • CMS Rating: ★★★★★
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals