CMS Price Transparency Data
Breast lump removal
Facility: UCI Health-Orange
Billing Code: 19120 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$5,113
about 1.3× the $4,000 Medicare rate · typically $3,675–$6,759
modeled estimate · not a bill or quote
Medicare pays $4,000 Fair price $5,113 Cash price $1,624 Hospital's list price $4,061
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
3 of 6 major insurers have a published price at this hospital
✓ Blue Cross Blue Shield✓ Aetna✓ Kaiser Permanente UnitedHealthcareCignaHumana
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 | $5,288 | 132% |
| Aetnamajor | $5,036 - $11,851 | 126% |
| Kaiser Permanentemajor | $5,791 - $13,093 | 145% |
| Health Net | $5,137 | 128% |
| Oscar Health | $8,561 | 214% |
| + 5 smaller / regional plans | $5,539 - $8,057 |
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Other Procedures at UCI Health-Orange
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.