CMS Price Transparency Data

Breast lump removal

Facility: St Marys Medical Center

Billing Code: 19120 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$593
about 0.1× the $4,000 Medicare rate · typically $402–$1,534
modeled estimate · not a bill or quote
What this hospital charges insurers
$608
About the fair price
about $15 over the fair price · 0.2× Medicare
Medicare pays $4,000 Fair price $593 This hospital $608

How we calculate the fair BaseRate →

How this hospital compares to other WV hospitals

One of the lower prices — 6 of 8 other WV hospitals charge more for the same procedure.

Cheapest $551 Priciest $3,957

Black dot = this hospital, among the 9 WV hospitals with a price for this procedure. Full list below.

A fair price for a Breast lump removal is about $593 (about 0.1× the $4,000 Medicare rate). St Marys Medical Center charges insurers about $608 — about the fair price. Located in Huntington, WV.

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 $288 - $3,829 7%
Blue Cross Blue Shieldmajor $288 - $26,756 7%
Aetnamajor $288 - $3,829 7%
Humanamajor $288 - $3,829 7%
CareSource $413 10%
UniCare $196 - $303 5%
+ 3 smaller / regional plans $196 - $4,250
Government programs also on file: Medicare.

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Facility Profile & Credentials

  • Address: 2900 1St Avenue, Huntington, WV 25702
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals