Breast lump removal
Facility: SSM Health St Agnes Hospital-Fond Du Lac
Billing Code: 19120 (CPT)
Highest price of the 9 WI hospitals we have prices for — worth calling around.
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 $5,489 (about 1.4× the $4,000 Medicare rate). SSM Health St Agnes Hospital-Fond Du Lac charges insurers about $4,589 — below the fair price — a good deal. Located in Fond Du Lac, WI.
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
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 | $3,735 - $4,589 | 93% |
| Molina | $2,905 | 73% |
| WellCare | $3,950 | 99% |
| + 3 smaller / regional plans | $7,474 - $7,791 |
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.
Other Procedures at SSM Health St Agnes Hospital-Fond Du Lac
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.