CMS Price Transparency Data

Breast lump removal

Facility: Kadlec Regional Medical Center

Billing Code: 19120 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$5,838
about 1.5× the $4,000 Medicare rate · typically $3,098–$6,309
modeled estimate · not a bill or quote
What this hospital charges insurers
$6,305
About the fair price
about $467 over the fair price · 1.6× Medicare
Medicare pays $4,000 Fair price $5,838 This hospital $6,305

How we calculate the fair BaseRate →

How this hospital compares to other WA hospitals

Highest price of the 9 WA hospitals we have prices for — worth calling around.

Cheapest $457 Priciest $6,305

Black dot = this hospital, among the 9 WA hospitals with a price for this procedure. Full list below.

A fair price for a Breast lump removal is about $5,838 (about 1.5× the $4,000 Medicare rate). Kadlec Regional Medical Center charges insurers about $6,305 — about the fair price. Located in Richland, WA.

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✓ Kaiser Permanente Humana

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 $4,669 117%
Blue Cross Blue Shieldmajor $713 - $10,636 18%
Aetnamajor $4,494 - $4,538 112%
Cignamajor $5,236 - $11,457 131%
Kaiser Permanentemajor $4,363 - $12,256 109%
Amerigroup $4,799 120%
Molina $7,374 184%
+ 3 smaller / regional plans $4,712 - $11,240

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Facility Profile & Credentials

  • Address: 888 Swift Blvd, Richland, WA 99352
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals