CMS Price Transparency Data

Breast lump removal

Facility: Natividad Medical Center

Billing Code: 19120 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$1,007
about 0.3× the $4,000 Medicare rate · typically $559–$5,250
modeled estimate · not a bill or quote
What this hospital charges insurers
$501
Below the fair price — a good deal
about $506 under the fair price · 0.1× Medicare
Medicare pays $4,000 Fair price $1,007 This hospital $501 Cash price $1,468 Hospital's list price $1,468

How we calculate the fair BaseRate →

How this hospital compares to other CA hospitals

On the higher side — 6 of 8 other CA hospitals charge less.

Cheapest $445 Priciest $523

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 $1,007 (about 0.3× the $4,000 Medicare rate). Natividad Medical Center charges insurers about $501, or about $1,468 in cash — below the fair price — a good deal. Located in Salinas, 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 $501 13%
Blue Cross Blue Shieldmajor $501 - $539 13%
Aetnamajor $418 10%
Cignamajor $1,248 31%
+ 3 smaller / regional plans $418 - $522
Government programs also on file: Medicaid.

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 1441 Constitution Boulevard, Salinas, CA 93906
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals