CMS Price Transparency Data

Breast lump removal

Facility: Midwest Orthopedic Specialty Hospital

Billing Code: 19120 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$5,208
about 1.3× the $4,000 Medicare rate · typically $1,353–$10,979
modeled estimate · not a bill or quote
What this hospital charges insurers
$479
Below the fair price — a good deal
about $4,729 under the fair price · 0.1× Medicare
Medicare pays $4,000 Fair price $5,208 This hospital $479

How we calculate the fair BaseRate →

How this hospital compares to other WI hospitals

Lowest price of the 9 WI hospitals we have prices for — a strong deal.

Cheapest $479 Priciest $1,955

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 $5,208 (about 1.3× the $4,000 Medicare rate). Midwest Orthopedic Specialty Hospital charges insurers about $479 — below the fair price — a good deal. Located in Franklin, WI.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

0 of 6 major insurers have a published price at this hospital

UnitedHealthcareBlue Cross Blue ShieldAetnaCignaHumanaKaiser 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
No insurance-company prices are published for this procedure.
+ 1 smaller / regional plan $479

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 10101 South 27Th St 2Nd Floor, Franklin, WI 53132
  • CMS Rating: No CMS Rating
  • Ownership Type: Physician
  • Hospital Type: Acute Care Hospitals