CMS Price Transparency Data

Breast lump removal

Facility: Ascension Seton Highland Lakes

Billing Code: 19120 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$1,059
about 0.3× the $4,000 Medicare rate · typically $539–$2,791
modeled estimate · not a bill or quote
What this hospital charges insurers
$964
About the fair price
about $95 under the fair price · 0.2× Medicare
Medicare pays $4,000 Fair price $1,059 This hospital $964

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 $964

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 $1,059 (about 0.3× the $4,000 Medicare rate). Ascension Seton Highland Lakes charges insurers about $964 — about the fair price. Located in Burnet, 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✓ Humana AetnaCignaKaiser 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 $964 24%
Blue Cross Blue Shieldmajor $964 - $3,545 24%
Humanamajor $969 24%
Oscar Health $1,000 25%
+ 4 smaller / regional plans $964
Government programs also on file: Military & VA.

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Facility Profile & Credentials

  • Address: Highway 281 South, Burnet, TX 78611
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals