CMS Price Transparency Data
Breast lump removal
Facility: TMC- Bonham Hospital
Billing Code: 19120 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$1,018
about 0.3× the $4,000 Medicare rate · typically $402–$3,078
modeled estimate · not a bill or quote
Medicare pays $4,000 Fair price $1,018 Cash price $451 Hospital's list price $1,505
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✓ Cigna HumanaKaiser 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 | $609 | 15% |
| Blue Cross Blue Shieldmajor | $889 | 22% |
| Aetnamajor | $991 - $1,067 | 25% |
| Cignamajor | $665 | 17% |
| + 1 smaller / regional plan | $1,846 |
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at TMC- Bonham Hospital
Compare: Breast lump removal at other TX hospitals
- Burleson St Joseph Health Center · Caldwell $458
- Madison St Joseph Health Center · Madisonville $465
- Memorial Medical Center · Port Lavaca $469
- Titus Regional Medical Center · Mount Pleasant $524
- Doctors Hospital of Laredo · Laredo $552
- Grimes St Joseph Health Center · Navasota $651
- Nacogdoches Memorial Hospital · Nacogdoches $770
- University of Texas M. D. Anderson Cancer Center · Houston $786
Insurance negotiated median for the same procedure, sorted lowest first.