CMS Price Transparency Data
Breast lump removal
Facility: Sauk Prairie Hospital
Billing Code: 19120 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$3,603
about 0.9× the $4,000 Medicare rate · typically $1,773–$5,699
modeled estimate · not a bill or quote
Medicare pays $4,000 Fair price $3,603 Cash price $889 Hospital's list price $1,626
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✓ Humana AetnaCignaKaiser 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 | $375 - $3,697 | 9% |
| Blue Cross Blue Shieldmajor | $311 - $3,697 | 8% |
| Humanamajor | $375 - $3,697 | 9% |
| Dean Health Plan | $375 - $10,200 | 9% |
| Quartz | $375 - $10,086 | 9% |
| + 1 smaller / regional plan | $326 - $6,286 |
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Other Procedures at Sauk Prairie Hospital
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.