CMS Price Transparency Data

Breast lump removal

Facility: Adventist Health Vallejo

Billing Code: 19120 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$2,220
about 0.6× the $4,000 Medicare rate · typically $403–$4,078
modeled estimate · not a bill or quote
What this hospital charges insurers
$515
Below the fair price — a good deal
about $1,705 under the fair price · 0.1× Medicare
Medicare pays $4,000 Fair price $2,220 This hospital $515 Cash price $126 Hospital's list price $838

How we calculate the fair BaseRate →

How this hospital compares to other CA hospitals

On the higher side — 7 of 8 other CA hospitals charge less.

Cheapest $445 Priciest $523

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 $2,220 (about 0.6× the $4,000 Medicare rate). Adventist Health Vallejo charges insurers about $515, or about $126 in cash — below the fair price — a good deal. Located in Vallejo, CA.

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✓ Kaiser Permanente Humana

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 $526 13%
Blue Cross Blue Shieldmajor $411 - $839 10%
Aetnamajor $575 14%
Cignamajor $504 13%
Kaiser Permanentemajor $493 12%
+ 4 smaller / regional plans $161 - $1,774
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 525 Oregon St, Vallejo, CA 94590
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Psychiatric