CMS Price Transparency Data

Breast lump removal

Facility: Thedacare Regional Med Ctr - Neenah

Billing Code: 19120 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$6,991
about 1.7× the $4,000 Medicare rate · typically $3,112–$11,406
modeled estimate · not a bill or quote
What this hospital charges insurers
$5,669
Below the fair price — a good deal
about $1,322 under the fair price · 1.4× Medicare
Medicare pays $4,000 Fair price $6,991 This hospital $5,669 Cash price $5,010 Hospital's list price $8,946

How we calculate the fair BaseRate →

How this hospital compares to other WI hospitals

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

Cheapest $479 Priciest $5,669

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

A fair price for a Breast lump removal is about $6,991 (about 1.7× the $4,000 Medicare rate). Thedacare Regional Med Ctr - Neenah charges insurers about $5,669, or about $5,010 in cash — below the fair price — a good deal. Located in Neenah, WI.

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✓ Cigna AetnaHumanaKaiser 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 $3,657 - $7,623 91%
Blue Cross Blue Shieldmajor $4,570 - $5,432 114%
Cignamajor $6,646 166%
+ 1 smaller / regional plan $5,905
Government programs also on file: Medicare.

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Facility Profile & Credentials

  • Address: 130 2Nd St, Neenah, WI 54956
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals