CMS Price Transparency Data

Breast lump removal

Facility: Providence Saint Joseph Medical Ctr

Billing Code: 19120 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$5,878
about 1.5× the $4,000 Medicare rate · typically $4,168–$7,438
modeled estimate · not a bill or quote
What this hospital charges insurers
$5,408
About the fair price
about $470 under the fair price · 1.4× Medicare
Medicare pays $4,000 Fair price $5,878 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 $5,878 (about 1.5× the $4,000 Medicare rate). Providence Saint Joseph Medical Ctr charges insurers about $5,408 — about the fair price. Located in Burbank, 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 $5,175 - $5,859 129%
Blue Cross Blue Shieldmajor $1,747 - $6,312 44%
Aetnamajor $5,036 126%
Cignamajor $3,950 99%
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: 501 South Buena Vista Street, Burbank, CA 91505
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals