CMS Price Transparency Data

Breast lump removal

Facility: Saint Alphonsus Medical Center Ontario

Billing Code: 19120 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$294
about 0.1× the $4,000 Medicare rate · typically $207–$950
modeled estimate · not a bill or quote
What this hospital charges insurers
$492
Above the fair price
about $198 over the fair price · 0.1× Medicare
Medicare pays $4,000 Fair price $294 This hospital $492 Hospital's list price $1,263

How we calculate the fair BaseRate →

How this hospital compares to other OR hospitals

Lowest price of the 9 OR hospitals we have prices for — a strong deal.

Cheapest $492 Priciest $1,166

Black dot = this hospital, among the 9 OR hospitals with a price for this procedure. Full list below.

A fair price for a Breast lump removal is about $294 (about 0.1× the $4,000 Medicare rate). Saint Alphonsus Medical Center Ontario charges insurers about $492 — above the fair price. Located in Ontario, OR.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $294. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

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

6 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 $192 - $806 5%
Blue Cross Blue Shieldmajor $192 - $796 5%
Aetnamajor $192 - $1,012 5%
Cignamajor $192 - $637 5%
Humanamajor $192 - $1,362 5%
Kaiser Permanentemajor $426 - $796 11%
Ambetter (Centene) $205 - $615 5%
Clover Health $192 - $410 5%
Dean Health Plan $547 - $983 14%
GEHA $444 - $806 11%
Health Net $205 - $1,012 5%
HealthPartners $205 - $615 5%
Meridian $192 - $615 5%
Moda Health $335 - $735 8%
Molina $205 - $815 5%
PacificSource $342 - $639 9%
Paramount $205 - $983 5%
Presbyterian $192 - $615 5%
SelectHealth $393 - $928 10%
Tufts Health Plan $205 - $615 5%
WellMed $192 - $410 5%
WellSense $205 - $615 5%
+ 351 smaller / regional plans $164 - $1,012
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 12 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

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Facility Profile & Credentials

  • Address: 351 Sw 9Th Street, Ontario, OR 97914
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals