CMS Price Transparency Data

Breast lump removal

Facility: Oakleaf Surgical Hospital

Billing Code: 19120 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$3,611
about 0.9× the $4,000 Medicare rate · typically $2,289–$4,252
modeled estimate · not a bill or quote
What this hospital charges insurers
$3,878
About the fair price
about $267 over the fair price · 1.0× Medicare
Medicare pays $4,000 Fair price $3,611 This hospital $3,878 Cash price $8,334 Hospital's list price $9,260

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 $3,878

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 $3,611 (about 0.9× the $4,000 Medicare rate). Oakleaf Surgical Hospital charges insurers about $3,878, or about $8,334 in cash — about the fair price. Located in Altoona, WI.

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 $3,878 97%
Blue Cross Blue Shieldmajor $3,878 - $9,999 97%
Humanamajor $3,878 97%
Dean Health Plan $3,878 97%
HealthPartners $3,878 97%
Medica $3,878 97%
Quartz $3,878 97%
Security Health Plan $3,878 - $6,283 97%
UCare $3,878 97%
+ 1 smaller / regional plan $3,878

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Facility Profile & Credentials

  • Address: 1000 Oakleaf Way, Altoona, WI 54720
  • CMS Rating: No CMS Rating
  • Ownership Type: Physician
  • Hospital Type: Acute Care Hospitals