CMS Price Transparency Data

Breast lump removal

Facility: Riverside Community Hospital

Billing Code: 19120 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$4,894
about 1.2× the $4,000 Medicare rate · typically $1,378–$5,762
modeled estimate · not a bill or quote
What this hospital charges insurers
$4,362
Below the fair price — a good deal
about $532 under the fair price · 1.1× Medicare
Medicare pays $4,000 Fair price $4,894 This hospital $4,362

How we calculate the fair BaseRate →

How this hospital compares to other CA hospitals

Highest price of the 9 CA hospitals we have prices for — worth calling around.

Cheapest $445 Priciest $4,362

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

A fair price for a Breast lump removal is about $4,894 (about 1.2× the $4,000 Medicare rate). Riverside Community Hospital charges insurers about $4,362 — below the fair price — a good deal. Located in Riverside, CA.

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✓ Cigna HumanaKaiser 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 $7,161 179%
Blue Cross Blue Shieldmajor $3,976 - $6,407 99%
Aetnamajor $663 - $4,886 17%
Cignamajor $5,892 147%
Bright Health $4,748 119%
Molina $57 - $93 1%
+ 4 smaller / regional plans $57 - $5,036

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Facility Profile & Credentials

  • Address: 4445 Magnolia Avenue, Riverside, CA 92501
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals