CMS Price Transparency Data

Breast lump removal

Facility: UCSF Health St. Mary's Hospital

Billing Code: 19120 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$5,408
about 1.4× the $4,000 Medicare rate · typically $3,652–$7,129
modeled estimate · not a bill or quote
What this hospital charges insurers
$5,623
About the fair price
about $215 over the fair price · 1.4× Medicare
Medicare pays $4,000 Fair price $5,408 This hospital $5,623

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 $5,623

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 $5,408 (about 1.4× the $4,000 Medicare rate). UCSF Health St. Mary's Hospital charges insurers about $5,623 — about the fair price. Located in San Francisco, 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 $5,623 141%
Blue Cross Blue Shieldmajor $375 - $12,527 9%
Aetnamajor $5,623 141%
Humanamajor $5,623 141%
Kaiser Permanentemajor $302 - $5,623 8%
Health Net $443 - $13,454 11%
Oscar Health $18,443 461%
+ 7 smaller / regional plans $302 - $16,307

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Facility Profile & Credentials

  • Address: 450 Stanyan St, San Francisco, CA 94117
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals