CMS Price Transparency Data

Breast lump removal

Facility: Sequoia Hospital

Billing Code: 19120 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$6,156
about 1.5× the $4,000 Medicare rate · typically $3,834–$8,976
modeled estimate · not a bill or quote
What this hospital charges insurers
$5,616
About the fair price
about $540 under the fair price · 1.4× Medicare
Medicare pays $4,000 Fair price $6,156 This hospital $5,616

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 $5,616

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 $6,156 (about 1.5× the $4,000 Medicare rate). Sequoia Hospital charges insurers about $5,616 — about the fair price. Located in Redwood City, 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✓ Humana✓ Kaiser Permanente Cigna

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 $5,616 140%
Blue Cross Blue Shieldmajor $302 - $18,725 8%
Aetnamajor $5,616 - $6,083 140%
Humanamajor $5,616 140%
Kaiser Permanentemajor $302 - $5,616 8%
Health Net $372 - $11,896 9%
+ 5 smaller / regional plans $302 - $17,577

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Facility Profile & Credentials

  • Address: 170 Alameda De Las Pulgas, Redwood City, CA 94062
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals