CMS Price Transparency Data

Breast lump removal

Facility: Ascension Sacred Heart Rehabilitation Hospital

Billing Code: 19120 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$2,120
about 0.5× the $4,000 Medicare rate · typically $641–$6,675
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,955
About the fair price
about $165 under the fair price · 0.5× Medicare
Medicare pays $4,000 Fair price $2,120 This hospital $1,955

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 $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 $2,120 (about 0.5× the $4,000 Medicare rate). Ascension Sacred Heart Rehabilitation Hospital charges insurers about $1,955 — about the fair price. Located in Mequon, WI.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Humana Blue Cross Blue ShieldAetnaCignaKaiser 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 $1,955 49%
Humanamajor $1,955 49%
+ 2 smaller / regional plans $651 - $1,714

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Facility Profile & Credentials

  • Address: 13111 N Port Washington Rd, Mequon, WI 53097
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL