Breast lump removal
Facility: Ohio Valley Surgical Hospital
Billing Code: 19120 (CPT)
- CPT Billing Code: 19120
- Insurance Median: $3,650
- Cash Discount Price: $7,917
- vs. Medicare Baseline: 0.91x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Understanding this gauge: We use the federal Medicare rate of $4,000.24 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Meritain | $545 | 14% |
| Mail Handlers | $545 | 14% |
| Meritain Heatlh | $545 | 14% |
| Pacific Source | $545 | 14% |
| Mhbp | $545 | 14% |
| Aetna | $545 - $3,650 | 14% |
| Nippon Life | $545 | 14% |
| Ngs Coresource | $545 | 14% |
| Genworth | $545 | 14% |
| Geha | $545 | 14% |
| Personify Health | $545 | 14% |
| Medigold | $3,650 | 91% |
| Molina McR+McD | $3,650 | 91% |
| Central States | $3,650 | 91% |
| American Continental Life | $3,650 | 91% |
| Prosperity Supplement | $3,650 | 91% |
| Molina Dual McR | $3,650 | 91% |
| Blue Cross Blue Shield | $3,650 - $12,997 | 91% |
| Aarp Supplemental | $3,650 | 91% |
| American Republic | $3,650 | 91% |
| Champus | $3,650 | 91% |
| Wellcare By Allwell | $3,650 | 91% |
| Aarp | $3,650 | 91% |
| Gateway Health Plan | $3,650 | 91% |
| American Continental Insurance | $3,650 | 91% |
| Molina Marketplace | $3,650 | 91% |
| American Retirement | $3,650 | 91% |
| Mmoh | $3,650 - $8,313 | 91% |
| Medicare (plans) | $3,650 - $7,917 | 91% |
| Molina McR McD | $3,650 | 91% |
| Molina McR | $3,650 | 91% |
| Self Pay Imaging | $3,650 | 91% |
| Molina | $3,650 | 91% |
| Humana | $3,650 | 91% |
| Patient No Pay | $3,650 | 91% |
| Bankers Life and Casualty | $3,650 | 91% |
| Molina Dual McR | $3,650 | 91% |
| UnitedHealthcare | $3,650 - $5,431 | 91% |
| Everest | $3,650 | 91% |
| Wraparound Pl Supp | $3,650 | 91% |
| Communicare Advantage | $3,650 | 91% |
| Aultcare Primetime Health Plan | $3,650 | 91% |
| Cigna | $3,650 - $5,695 | 91% |
| Bankers Fidelity | $3,650 | 91% |
| The Health Plan | $3,832 | 96% |
| Devoted Health | $3,869 | 97% |
| Employer Direct | $4,197 | 105% |
| Caresource | $5,474 | 137% |
| Caresourse | $5,474 | 137% |
| Medicaid / KanCare | $5,474 | 137% |
| Sbma | $5,695 | 142% |
| Healthgram | $5,695 | 142% |
| Unified Group | $5,695 | 142% |
| Samba | $5,695 | 142% |
| Nalc | $5,695 | 142% |
| Mmoh (Supermed) | $6,136 | 153% |
| Mmo Cin. HMO | $8,313 | 208% |
| Ohio Health | $11,876 | 297% |
| Luminare Health | $11,876 | 297% |
| Medben | $11,876 | 297% |
| Preferred Health | $11,876 | 297% |