CMS Price Transparency Data
Breast lump removal
Facility: Beloit Health System
Billing Code: 19120 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$3,938
about 1.0× the $4,000 Medicare rate · typically $1,215–$6,016
modeled estimate · not a bill or quote
Medicare pays $4,000 Fair price $3,938 Cash price $758 Hospital's list price $2,527
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 | $318 - $4,267 | 8% |
| Blue Cross Blue Shieldmajor | $382 - $10,303 | 10% |
| Aetnamajor | $382 - $4,121 | 10% |
| Cignamajor | $1,664 - $3,329 | 42% |
| Humanamajor | $1,412 - $15,328 | 35% |
| Dean Health Plan | $382 - $6,808 | 10% |
| Molina | $4,121 | 103% |
| Quartz | $382 - $4,121 | 10% |
| WellCare | $4,121 | 103% |
| + 7 smaller / regional plans | $318 - $16,482 |
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Beloit Health System
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.