CMS Price Transparency Data
Breast lump removal
Facility: Good Samaritan Hospital, LP
Billing Code: 19120 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$1,698
about 0.4× the $4,000 Medicare rate · typically $614–$4,833
modeled estimate · not a bill or quote
Medicare pays $4,000 Fair price $1,698 Cash price $754 Hospital's list price $1,077
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
2 of 6 major insurers have a published price at this hospital
✓ Blue Cross Blue Shield✓ Aetna UnitedHealthcareCignaHumanaKaiser 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 |
|---|---|---|
| Blue Cross Blue Shieldmajor | $1,433 - $5,011 | 36% |
| Aetnamajor | $1,354 | 34% |
| Health Net | $5,011 | 125% |
| + 3 smaller / regional plans | $126 - $7,517 |
Self-Pay How to get the cash price
Insurance Before you use insurance
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Other Procedures at Good Samaritan Hospital, LP
Compare: Breast lump removal at other CA hospitals
- Adventist Health Sonora · Sonora $445
- Valley Children's Hospital · Madera $469
- Adventist Health Tulare · Tulare $475
- Adventist Health Tehachapi Valley · Tehachapi $480
- Adventist Health Hanford · Hanford $486
- Santa Clara Valley Medical Center · San Jose $489
- Natividad Medical Center · Salinas $501
- Adventist Health Vallejo · Vallejo $515
Insurance negotiated median for the same procedure, sorted lowest first.