CMS Price Transparency Data
Breast lump removal
Facility: Ascension Ne Wisconsin - St Elizabeth Campus
Billing Code: 19120 (CPT)
The BaseRate · fair price low confidence
A fair price for this
$2,726
about 0.7× the $4,000 Medicare rate · typically $555–$6,525
modeled estimate · not a bill or quote
Medicare pays $4,000 Fair price $2,726 Cash price $1,283 Hospital's list price $2,251
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
1 of 6 major insurers have a published price at this hospital
✓ Blue Cross Blue Shield UnitedHealthcareAetnaCignaHumanaKaiser 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 |
|---|---|---|
| Blue Cross Blue Shieldmajor | $427 | 11% |
| + 2 smaller / regional plans | $1,788 |
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Other Procedures at Ascension Ne Wisconsin - St Elizabeth Campus
Compare: Breast lump removal at other WI hospitals
- Ascension St Francis Hospital · Milwaukee $479
- Ascension Se Wisconsin Hospital · Milwaukee $479
- Midwest Orthopedic Specialty Hospital · Franklin $479
- Grant Regional Health Center · Lancaster $588
- Upland Hills Health · Dodgeville $870
- Unitypoint Health - Meriter · Madison $1,248
- HSHS St Clare Memorial Hospital · Oconto Falls $1,555
- Ascension Columbia St Marys Hospital Milwaukee · Milwaukee $1,955
Insurance negotiated median for the same procedure, sorted lowest first.