CMS Price Transparency Data

Breast lump removal

Facility: Pomona Valley Hospital Medical Center

Billing Code: 19120 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$5,747
about 1.4× the $4,000 Medicare rate · typically $4,174–$8,526
modeled estimate · not a bill or quote
What this hospital charges insurers
$4,880
Below the fair price — a good deal
about $867 under the fair price · 1.2× Medicare
Medicare pays $4,000 Fair price $5,747 This hospital $4,880

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 $4,880

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 $5,747 (about 1.4× the $4,000 Medicare rate). Pomona Valley Hospital Medical Center charges insurers about $4,880 — below the fair price — a good deal. Located in Pomona, 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 $4,751 - $5,041 119%
Blue Cross Blue Shieldmajor $3,925 - $5,279 98%
Aetnamajor $5,856 146%
Cignamajor $4,880 122%

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Facility Profile & Credentials

  • Address: 1798 N Garey Ave, Pomona, CA 91767
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals