CMS Price Transparency Data

Breast lump removal

Facility: Baylor Scott & White Texas Spine & Joint Hospital

Billing Code: 19120 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$3,681
about 0.9× the $4,000 Medicare rate · typically $3,232–$4,061
modeled estimate · not a bill or quote
What this hospital charges insurers
$3,202
Below the fair price — a good deal
about $479 under the fair price · 0.8× Medicare
Medicare pays $4,000 Fair price $3,681 This hospital $3,202 Cash price $3,789 Hospital's list price $6,315

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 $3,202

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 $3,681 (about 0.9× the $4,000 Medicare rate). Baylor Scott & White Texas Spine & Joint Hospital charges insurers about $3,202, or about $3,789 in cash — below the fair price — a good deal. Located in Tyler, TX.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield AetnaCignaHumanaKaiser 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 $3,210 - $3,440 80%
Blue Cross Blue Shieldmajor $1,590 - $3,473 40%
+ 1 smaller / regional plan $3,440

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Facility Profile & Credentials

  • Address: 1814 Roseland Boulevard, Tyler, TX 75701
  • CMS Rating: ★★★★★
  • Ownership Type: Physician
  • Hospital Type: Acute Care Hospitals