CMS Price Transparency Data

Breast lump removal

Facility: Gundersen Lutheran Medical Center

Billing Code: 19120 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$3,761
about 0.9× the $4,000 Medicare rate · typically $2,206–$5,249
modeled estimate · not a bill or quote
What this hospital charges insurers
$3,793
About the fair price
about $32 over the fair price · 0.9× Medicare
Medicare pays $4,000 Fair price $3,761 This hospital $3,793 Cash price $2,046 Hospital's list price $5,428

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 $3,793

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 $3,761 (about 0.9× the $4,000 Medicare rate). Gundersen Lutheran Medical Center charges insurers about $3,793, or about $2,046 in cash — about the fair price. Located in La Crosse, WI.

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✓ Humana Kaiser 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 $571 - $4,424 14%
Blue Cross Blue Shieldmajor $571 - $11,270 14%
Aetnamajor $3,793 - $5,157 95%
Cignamajor $4,451 111%
Humanamajor $5,157 129%
Amerigroup $571 - $3,793 14%
Dean Health Plan $2,274 57%
HealthPartners $2,714 - $4,793 68%
Medica $1,813 - $4,158 45%
Molina $571 14%
Quartz $2,296 57%
UCare $3,632 - $4,342 91%
+ 15 smaller / regional plans $571 - $4,885
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1910 South Ave, La Crosse, WI 54601
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals