CMS Price Transparency Data

Breast lump removal

Facility: Providence Santa Rosa Memorial Hospital

Billing Code: 19120 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$6,221
about 1.6× the $4,000 Medicare rate · typically $3,827–$10,358
modeled estimate · not a bill or quote
What this hospital charges insurers
$6,358
About the fair price
about $137 over the fair price · 1.6× Medicare
Medicare pays $4,000 Fair price $6,221 This hospital $6,358

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 $6,358

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 $6,221 (about 1.6× the $4,000 Medicare rate). Providence Santa Rosa Memorial Hospital charges insurers about $6,358 — about the fair price. Located in Santa Rosa, 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 $6,732 - $7,614 168%
Blue Cross Blue Shieldmajor $3,423 - $7,630 86%
Aetnamajor $5,559 - $19,505 139%
Health Net $5,448 - $16,652 136%

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Facility Profile & Credentials

  • Address: 1165 Montgomery Dr, Santa Rosa, CA 95405
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals