CMS Price Transparency Data

Breast lump removal

Facility: Paradise Valley Hospital

Billing Code: 19120 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$5,205
about 1.3× the $4,000 Medicare rate · typically $1,534–$5,577
modeled estimate · not a bill or quote
What this hospital charges insurers
$5,011
About the fair price
about $194 under the fair price · 1.3× Medicare
Medicare pays $4,000 Fair price $5,205 This hospital $5,011 Cash price $5,011 Hospital's list price $8,295

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 $5,011

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 $5,205 (about 1.3× the $4,000 Medicare rate). Paradise Valley Hospital charges insurers about $5,011, or about $5,011 in cash — about the fair price. Located in National City, CA.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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 $302 - $5,011 8%
Blue Cross Blue Shieldmajor $5,011 125%
Aetnamajor $302 - $6,403 8%
Health Net $323 - $7,316 8%
Molina $302 - $5,011 8%
+ 20 smaller / regional plans $302 - $8,295
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 2400 East 4Th St, National City, CA 91950
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals