CMS Price Transparency Data

Breast lump removal

Facility: Providence Little Co of Mary Med Ctr San Pedro

Billing Code: 19120 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$5,389
about 1.3× the $4,000 Medicare rate · typically $4,182–$7,389
modeled estimate · not a bill or quote
What this hospital charges insurers
$5,408
About the fair price
about $19 over the fair price · 1.4× Medicare
Medicare pays $4,000 Fair price $5,389 This hospital $5,408

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 $5,408

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 $5,389 (about 1.3× the $4,000 Medicare rate). Providence Little Co of Mary Med Ctr San Pedro charges insurers about $5,408 — about the fair price. Located in San Pedro, CA.

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 $5,204 - $5,894 130%
Blue Cross Blue Shieldmajor $1,747 - $5,942 44%
Aetnamajor $5,036 126%
Cignamajor $7,805 - $16,780 195%
Humanamajor $5,137 128%
Health Net $7,332 - $11,827 183%
+ 2 smaller / regional plans $5,539 - $6,547

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Facility Profile & Credentials

  • Address: 1300 W 7Th St, San Pedro, CA 90732
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals