CMS Price Transparency Data

Breast lump removal

Facility: Coast Plaza Hospital

Billing Code: 19120 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$5,268
about 1.3× the $4,000 Medicare rate · typically $4,127–$6,441
modeled estimate · not a bill or quote
What this hospital charges insurers
$5,239
About the fair price
about $29 under the fair price · 1.3× Medicare
Medicare pays $4,000 Fair price $5,268 This hospital $5,239

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 $5,239

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 $5,268 (about 1.3× the $4,000 Medicare rate). Coast Plaza Hospital charges insurers about $5,239 — about the fair price. Located in Norwalk, 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✓ Cigna✓ Humana AetnaKaiser 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 $5,860 - $5,953 146%
Blue Cross Blue Shieldmajor $215 - $7,144 5%
Cignamajor $1,497 37%
Humanamajor $4,763 119%
Ambetter (Centene) $5,977 - $7,339 149%
Bright Health $5,239 131%
Health Net $4,763 - $7,482 119%
Oscar Health $5,239 131%
+ 7 smaller / regional plans $4,620 - $9,525
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: 13100 Studerbaker Road, Norwalk, CA 90650
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals