CMS Price Transparency Data
Breast lump removal
Facility: Columbus Community Hospital
Billing Code: 19120 (CPT)
The BaseRate · fair price low confidence
A fair price for this
$1,245
about 0.3× the $4,000 Medicare rate · typically $434–$4,305
modeled estimate · not a bill or quote
Medicare pays $4,000 Fair price $1,245 Cash price $215 Hospital's list price $390
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✓ Cigna✓ Humana AetnaKaiser 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 | $324 - $4,000 | 8% |
| Blue Cross Blue Shieldmajor | $300 - $2,366 | 7% |
| Cignamajor | $233 | 6% |
| Humanamajor | $351 | 9% |
| Dean Health Plan | $2,366 - $7,827 | 59% |
| Quartz | $256 - $4,000 | 6% |
| Security Health Plan | $291 - $4,000 | 7% |
| + 6 smaller / regional plans | $113 - $4,000 |
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Insurance Before you use insurance
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Other Procedures at Columbus Community 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.