CMS Price Transparency Data

Breast lump removal

Facility: Covenant Hospital Plainview

Billing Code: 19120 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$5,747
about 1.4× the $4,000 Medicare rate · typically $2,271–$6,544
modeled estimate · not a bill or quote
What this hospital charges insurers
$5,686
About the fair price
about $61 under the fair price · 1.4× Medicare
Medicare pays $4,000 Fair price $5,747 This hospital $5,686

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 $5,686

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 $5,747 (about 1.4× the $4,000 Medicare rate). Covenant Hospital Plainview charges insurers about $5,686 — about the fair price. Located in Plainview, 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 $4,150 104%
Blue Cross Blue Shieldmajor $3,815 - $8,816 95%
Aetnamajor $3,933 - $5,619 98%
Baylor Scott & White $5,686 - $7,454 142%
+ 1 smaller / regional plan $4,130
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: 2601 Dimmitt Rd, Plainview, TX 79072
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals