Breast lump removal
Facility: Desert Valley Hospital
Billing Code: 19120 (CPT)
- CPT Billing Code: 19120
- Insurance Median: $3,866
- Cash Discount Price: $5,011
- vs. Medicare Baseline: 0.97x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Understanding this gauge: We use the federal Medicare rate of $4,000.24 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Blue Shield Of Promise | $302 - $3,866 | 8% |
| Heritage Victor Valley Medical Group | $302 - $3,866 | 8% |
| High Desert Pace | $302 - $3,866 | 8% |
| Molina | $302 - $3,866 | 8% |
| Traditional Medi-Cal | $302 | 8% |
| Vantage Care | $302 - $3,866 | 8% |
| Health Net Of Ca | $323 - $3,866 | 8% |
| Inland Empire Health Plan | $438 - $3,866 | 11% |
| Blue Shield Of Ca | $2,970 - $3,866 | 74% |
| Aetna | $3,866 | 97% |
| Alignment | $3,866 | 97% |
| Blue Cross Blue Shield | $3,866 | 97% |
| Brand New Day | $3,866 | 97% |
| Choice Physicians Network | $3,866 | 97% |
| Elite Health Plan | $3,866 | 97% |
| Employer Direct Healthcare | $3,866 | 97% |
| Epic Health Plan | $3,866 | 97% |
| High Desert Primary Care | $3,866 | 97% |
| Imperial Health Plan Of Ca | $3,866 | 97% |
| Inland Empire Foundation For Medical Care | $3,866 | 97% |
| Medicare (plans) | $3,866 | 97% |
| Naphcare | $3,866 | 97% |
| Prime Health Services Inc | $3,866 | 97% |
| Renal Payor Solutions | $3,866 | 97% |
| The Geo Group Inc | $3,866 | 97% |
| Tricare | $3,866 | 97% |
| UnitedHealthcare | $3,866 | 97% |
| Wellpath | $3,866 | 97% |
| Workers Compensation | $3,866 | 97% |