CMS Price Transparency Data

Breast lump removal

Facility: Mercy Hospital of Folsom

Billing Code: 19120 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$5,418
about 1.4× the $4,000 Medicare rate · typically $2,952–$9,190
modeled estimate · not a bill or quote
What this hospital charges insurers
$5,032
About the fair price
about $386 under the fair price · 1.3× Medicare
Medicare pays $4,000 Fair price $5,418 This hospital $5,032

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 $5,032

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 $5,418 (about 1.4× the $4,000 Medicare rate). Mercy Hospital of Folsom charges insurers about $5,032 — about the fair price. Located in Folsom, 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✓ Humana✓ Kaiser Permanente Cigna

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 $302 - $5,032 8%
Blue Cross Blue Shieldmajor $574 - $12,800 14%
Aetnamajor $5,032 - $9,148 126%
Humanamajor $5,032 126%
Kaiser Permanentemajor $5,032 126%
Health Net $713 - $12,547 18%
Molina $568 14%
+ 3 smaller / regional plans $332 - $1,300

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 1650 Creekside Drive, Folsom, CA 95630
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals