CMS Price Transparency Data
Breast lump removal
Facility: Kern Valley Healthcare District
Billing Code: 19120 (CPT)
The BaseRate · fair price low confidence
A fair price for this
$510
about 0.1× the $4,000 Medicare rate · typically $355–$3,290
modeled estimate · not a bill or quote
Medicare pays $4,000 Fair price $510 Cash price $409 Hospital's list price $1,873
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
5 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 | $346 | 9% |
| Blue Cross Blue Shieldmajor | $478 | 12% |
| Aetnamajor | $327 | 8% |
| Cignamajor | $493 | 12% |
| Humanamajor | $409 | 10% |
| Health Net | $65 - $409 | 2% |
| + 1 smaller / regional plan | $368 |
Government programs also on file: Medicaid, Military & VA.
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Other Procedures at Kern Valley Healthcare District
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.