CMS Price Transparency Data

Breast lump removal

Facility: Marshall Medical Center

Billing Code: 19120 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$4,948
about 1.2× the $4,000 Medicare rate · typically $3,312–$7,466
modeled estimate · not a bill or quote
What this hospital charges insurers
$4,749
About the fair price
about $199 under the fair price · 1.2× Medicare
Medicare pays $4,000 Fair price $4,948 This hospital $4,749 Hospital's list price $27,497

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 $4,749

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 $4,948 (about 1.2× the $4,000 Medicare rate). Marshall Medical Center charges insurers about $4,749 — about the fair price. Located in Placerville, 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 $4,749 - $23,373 119%
Blue Cross Blue Shieldmajor $1,259 - $20,650 31%
Aetnamajor $4,749 - $14,024 119%
Cignamajor $21,998 550%
Health Net $18,750 469%
+ 2 smaller / regional plans $1,325 - $4,166
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1100 Marshall Way, Placerville, CA 95667
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals