CMS Price Transparency Data

Breast lump removal

Facility: Doctors Hosptal at Renaissance

Billing Code: 19120 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$3,353
about 0.8× the $4,000 Medicare rate · typically $1,990–$3,964
modeled estimate · not a bill or quote
What this hospital charges insurers
$3,765
About the fair price
about $412 over the fair price · 0.9× Medicare
Medicare pays $4,000 Fair price $3,353 This hospital $3,765 Cash price $6,433 Hospital's list price $6,433

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 $3,765

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 $3,353 (about 0.8× the $4,000 Medicare rate). Doctors Hosptal at Renaissance charges insurers about $3,765, or about $6,433 in cash — about the fair price. Located in Edinburg, TX.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser 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 $1,044 26%
Blue Cross Blue Shieldmajor $212 - $4,908 5%
Aetnamajor $2,060 - $5,065 51%
Humanamajor $3,765 94%
Molina $1,034 - $4,706 26%
WellCare $1,064 - $3,953 27%
+ 3 smaller / regional plans $1,044 - $4,895
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: 5501 South McColl, Edinburg, TX 78539
  • CMS Rating: ★★★☆☆
  • Ownership Type: Physician
  • Hospital Type: Acute Care Hospitals