CMS Price Transparency Data

Breast lump removal

Facility: Montclair Hospital Medical Center

Billing Code: 19120 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$4,836
about 1.2× the $4,000 Medicare rate · typically $1,637–$5,812
modeled estimate · not a bill or quote
What this hospital charges insurers
$5,011
About the fair price
about $175 over the fair price · 1.3× Medicare
Medicare pays $4,000 Fair price $4,836 This hospital $5,011 Cash price $5,011 Hospital's list price $14,377

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 $5,011

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 $4,836 (about 1.2× the $4,000 Medicare rate). Montclair Hospital Medical Center charges insurers about $5,011, or about $5,011 in cash — about the fair price. Located in Montclair, CA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

1 of 6 major insurers have a published price at this hospital

✓ Blue Cross Blue Shield UnitedHealthcareAetnaCignaHumanaKaiser 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
Blue Cross Blue Shieldmajor $302 - $317 8%
Health Net $323 - $7,316 8%
Molina $302 - $5,011 8%
+ 17 smaller / regional plans $302 - $10,022
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 5000 San Bernardino Road, Montclair, CA 91763
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals