CMS Price Transparency Data

Breast lump removal

Facility: Ascension Columbia St Marys Hospital Milwaukee

Billing Code: 19120 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$5,534
about 1.4× the $4,000 Medicare rate · typically $1,948–$9,502
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,955
Below the fair price — a good deal
about $3,579 under the fair price · 0.5× Medicare
Medicare pays $4,000 Fair price $5,534 This hospital $1,955

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 $1,955

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 $5,534 (about 1.4× the $4,000 Medicare rate). Ascension Columbia St Marys Hospital Milwaukee charges insurers about $1,955 — below the fair price — a good deal. Located in Milwaukee, WI.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

2 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Humana Blue Cross Blue ShieldAetnaCignaKaiser 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 $1,955 49%
Humanamajor $1,955 49%
+ 2 smaller / regional plans $651 - $1,714

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 2323 N Lake Dr, Milwaukee, WI 53211
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals