CMS Price Transparency Data
Breast lump removal
Facility: Memorial Hospital of Lafayette County
Billing Code: 19120 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$667
about 0.2× the $4,000 Medicare rate · typically $376–$2,925
modeled estimate · not a bill or quote
Medicare pays $4,000 Fair price $667
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
4 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser 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 | $306 - $562 | 8% |
| Blue Cross Blue Shieldmajor | $306 - $431 | 8% |
| Aetnamajor | $431 | 11% |
| Humanamajor | $431 | 11% |
| Dean Health Plan | $306 - $3,524 | 8% |
| Quartz | $306 - $431 | 8% |
| + 2 smaller / regional plans | $306 - $2,189 |
Government programs also on file: Medicaid.
Self-Pay How to get the cash price
Insurance Before you use insurance
Other Procedures at Memorial Hospital of Lafayette County
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.