CMS Price Transparency Data

Breast lump removal

Facility: HCA Houston Healthcare West

Billing Code: 19120 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$3,900
about 1.0× the $4,000 Medicare rate · typically $2,468–$5,271
modeled estimate · not a bill or quote
What this hospital charges insurers
$3,228
Below the fair price — a good deal
about $672 under the fair price · 0.8× Medicare
Medicare pays $4,000 Fair price $3,900 This hospital $3,228

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 $3,228

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 $3,900 (about 1.0× the $4,000 Medicare rate). HCA Houston Healthcare West charges insurers about $3,228 — below the fair price — a good deal. Located in Houston, 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 $1,034 - $5,000 26%
Blue Cross Blue Shieldmajor $5,271 - $7,513 132%
Aetnamajor $1,217 - $4,034 30%
Cignamajor $9,751 - $12,562 244%
Humanamajor $1,205 - $4,690 30%
Amerigroup $1,012 25%
Fidelis Care $2,115 53%
Health Net $944 24%
Healthcare Highways $3,041 76%
Molina $1,060 26%
Oscar Health $5,571 139%
WellMed $3,953 99%
+ 3 smaller / regional plans $1,079 - $4,807
Government programs also on file: Medicaid.

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Facility Profile & Credentials

  • Address: 12141 Richmond Ave, Houston, TX 77082
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals