CMS Price Transparency Data
Breast lump removal
Facility: Mountains Community Hospital
Billing Code: 19120 (CPT)
The BaseRate · fair price low confidence
A fair price for this
$743
about 0.2× the $4,000 Medicare rate · typically $261–$3,288
modeled estimate · not a bill or quote
Medicare pays $4,000 Fair price $743 Cash price $370 Hospital's list price $925
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
✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Kaiser Permanente UnitedHealthcareHumana
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 | $574 - $708 | 14% |
| Aetnamajor | $444 - $648 | 11% |
| Cignamajor | $648 | 16% |
| Kaiser Permanentemajor | $211 - $592 | 5% |
| Health Net | $745 | 19% |
| Molina | $416 | 10% |
| + 1 smaller / regional plan | $694 |
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Mountains Community Hospital
Compare: Breast lump removal at other CA hospitals
- Adventist Health Sonora · Sonora $445
- Valley Children's Hospital · Madera $469
- Adventist Health Tulare · Tulare $475
- Adventist Health Tehachapi Valley · Tehachapi $480
- Adventist Health Hanford · Hanford $486
- Santa Clara Valley Medical Center · San Jose $489
- Natividad Medical Center · Salinas $501
- Adventist Health Vallejo · Vallejo $515
Insurance negotiated median for the same procedure, sorted lowest first.