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Breast lump removal (open) in California: what insurers pay

Posted commercial rates at 5 California hospitals, each next to its own Medicare base rate.

Open in the explorerAll statesEvery bill for the whole procedure

CPT 19120

HospitalMedian across insurers× MedicareInsurersFile date
Scripps Green Hospital La Jolla$5,0361.0×12026-03-30
Keck Hospital Of Usc Los Angeles$7,8041.6×52026-04-01
Los Robles Hospital & Medical Center Thousand Oaks$11,8552.4×52026-09-01
Cedars-Sinai Medical Center Los Angeles$20,6364.1×32025-11-26
Stanford Health Care Stanford$24,3074.2×42026-04-01

Questions

How much do insurers pay for breast lump removal (open) in California?

5 California hospitals post usable commercial rates for breast lump removal (open) in their federal price-transparency files. For CPT 19120, hospital outpatient, the median across 5 hospitals is $11,855, 2.4× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.