CMS Price Transparency Data
Breast lump removal
Facility: Mon Health Medical Center
Billing Code: 19120 (CPT)
The BaseRate · fair price low confidence
A fair price for this
$1,855
about 0.5× the $4,000 Medicare rate · typically $342–$3,919
modeled estimate · not a bill or quote
Medicare pays $4,000 Fair price $1,855 Cash price $449 Hospital's list price $897
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
5 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 | $808 - $3,787 | 20% |
| Blue Cross Blue Shieldmajor | $3,787 - $17,705 | 95% |
| Aetnamajor | $718 - $3,787 | 18% |
| Cignamajor | $808 | 20% |
| Humanamajor | $808 - $3,787 | 20% |
| GEHA | $870 | 22% |
| Paramount | $3,787 | 95% |
| UPMC Health Plan | $870 | 22% |
| + 12 smaller / regional plans | $173 - $7,575 |
Government programs also on file: Medicare.
Excludes 6 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Mon Health Medical Center
Compare: Breast lump removal at other WV hospitals
- Charleston Area Medical Center · Charleston $551
- Cabell Huntington Hospital, Inc · Huntington $595
- St Marys Medical Center · Huntington $608
- Boone Memorial Hospital · Madison $1,593
- Weirton Medical Center, Inc · Weirton $1,978
- Reynolds Memorial Hospital, Inc · Glen Dale $3,887
- Camden Clark Medical Center · Parkersburg $3,924
- Berkeley Medical Center · Martinsburg $3,957
Insurance negotiated median for the same procedure, sorted lowest first.