CMS Price Transparency Data

Breast lump removal

Facility: Memorialcare Orange Coast Medical Center

Billing Code: 19120 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$5,760
about 1.4× the $4,000 Medicare rate · typically $4,114–$7,871
modeled estimate · not a bill or quote
What this hospital charges insurers
$6,586
About the fair price
about $826 over the fair price · 1.6× Medicare
Medicare pays $4,000 Fair price $5,760 This hospital $6,586

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 $6,586

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 $5,760 (about 1.4× the $4,000 Medicare rate). Memorialcare Orange Coast Medical Center charges insurers about $6,586 — about the fair price. Located in Fountain Valley, 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 $7,756 - $13,282 194%
Blue Cross Blue Shieldmajor $4,935 - $13,751 123%
Aetnamajor $2,257 - $3,854 56%
Cignamajor $3,045 - $4,787 76%
Health Net $10,220 - $14,600 255%
Molina $5,187 130%
SelectHealth $6,798 170%
+ 8 smaller / regional plans $1,669 - $13,698

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Facility Profile & Credentials

  • Address: 9920 Talbert Avenue, Fountain Valley, CA 92708
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals