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Procedure price report · Other diagnostic procedures on skin and subcutaneous tissue

Needle biopsy of a lump using CT guidance, first lump

CPT 10009the billing code this page is about

Uses a thin needle guided by CT imaging to draw a sample of cells from a lump or abnormal area; this code covers the first lump sampled during the visit.

Hospitals typically charge $1,213 cash for this outpatient procedure — the median across 1,938 hospitals that filed a usable cash price; the average of the middle 60% is $1,311. Most fall between $663 and $2,303 (20th–80th percentile).

Hospitals
1,938
States
50
Filings dated
Dec 2022 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 24, 2026

Median: half of hospitals filed less, half more — and it is a price some hospital actually filed. Average of the middle 60%: the mean of the prices between the 20th and 80th percentiles. We never publish the plain average, the lowest or the highest price: the extremes in hospital price files are chargemaster artefacts, not prices anyone pays.

What hospitals charge, from cheapest to most expensive

Cash price percentiles, outpatient, across 1,938 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$454$760$1,213$2,081$3,412

The most expensive tenth of hospitals charges at least 7.5× what the cheapest tenth charges ($454 vs $3,412).

How the prices are spread

$270 – $355: 47 hospitals$270$355 – $467: 66 hospitals$467 – $615: 124 hospitals$467$615 – $809: 214 hospitals$809 – $1,064: 304 hospitals$809$1,064 – $1,400: 269 hospitals$1,400 – $1,842: 229 hospitals$1,400$1,842 – $2,423: 224 hospitals$2,423 – $3,188: 157 hospitals$2,423$3,188 – $4,194: 113 hospitals$3,188median $1,213price bands are equal on a log scale
Hospitals per price band (1,747 of 1,938 — the bands cover the 5th to 95th percentile)
FromToHospitals
$270$35547
$355$46766
$467$615124
$615$809214
$809$1,064304
$1,064$1,400269
$1,400$1,842229
$1,842$2,423224
$2,423$3,188157
$3,188$4,194113

Against Medicare

Medicare pays (OPPS 2026, national rate)$723
Median cash price$1,213
Cash as a multiple of Medicare1.68×

The Medicare figure is the national unadjusted OPPS rate for this code — what Medicare itself pays a hospital before local wage adjustment. It is a benchmark, not a price anyone is charged.

By state

The median cash price in each state, against the national median of $1,213.

Alaska: 8 hospitals filed a usable price — fewer than 10, so no figureAKMaine: median $748 across 12 hospitalsME$748Vermont: 4 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: median $945 across 10 hospitalsNH$945Washington: median $1,590 across 47 hospitalsWA$1,590Idaho: median $1,783 across 11 hospitalsID$1,783Montana: median $689 across 11 hospitalsMT$689North Dakota: 9 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $898 across 45 hospitalsMN$898Illinois: median $1,293 across 84 hospitalsIL$1,293Wisconsin: median $1,087 across 78 hospitalsWI$1,087Michigan: median $741 across 73 hospitalsMI$741New York: median $972 across 71 hospitalsNY$972Massachusetts: median $979 across 38 hospitalsMA$979Oregon: median $1,399 across 37 hospitalsOR$1,399Nevada: median $1,662 across 11 hospitalsNV$1,662Wyoming: 4 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 2 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $1,146 across 29 hospitalsIA$1,146Indiana: median $1,272 across 64 hospitalsIN$1,272Ohio: median $1,293 across 113 hospitalsOH$1,293Pennsylvania: median $869 across 107 hospitalsPA$869New Jersey: median $939 across 55 hospitalsNJ$939Connecticut: median $1,402 across 17 hospitalsCT$1,402Rhode Island: 6 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $2,183 across 149 hospitalsCA$2,183Utah: median $2,258 across 26 hospitalsUT$2,258Colorado: median $1,313 across 47 hospitalsCO$1,313Nebraska: median $699 across 19 hospitalsNE$699Missouri: median $1,146 across 38 hospitalsMO$1,146Kentucky: median $1,081 across 24 hospitalsKY$1,081West Virginia: median $1,437 across 16 hospitalsWV$1,437Virginia: median $1,197 across 45 hospitalsVA$1,197Maryland: 5 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 6 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $1,063 across 33 hospitalsAZ$1,063New Mexico: 9 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $898 across 27 hospitalsKS$898Arkansas: median $691 across 13 hospitalsAR$691Tennessee: median $748 across 42 hospitalsTN$748North Carolina: median $1,409 across 53 hospitalsNC$1,409South Carolina: median $1,571 across 40 hospitalsSC$1,571Oklahoma: median $600 across 28 hospitalsOK$600Louisiana: median $922 across 35 hospitalsLA$922Mississippi: median $581 across 32 hospitalsMS$581Alabama: median $834 across 23 hospitalsAL$834Georgia: median $1,281 across 61 hospitalsGA$1,281Hawaii: median $935 across 14 hospitalsHI$935Texas: median $1,213 across 117 hospitalsTX$1,213Florida: median $1,583 across 90 hospitalsFL$1,583
Cash price by state, most expensive first. National median $1,213. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Utah UT26$2,258+86%$2,258 – $2,657
California CA149$2,183+80%$910 – $3,590
Idaho ID11$1,783+47%$1,558 – $1,783
Nevada NV11$1,662+37%$980 – $1,976
Washington WA47$1,590+31%$643 – $2,060
Florida FL90$1,583+30%$682 – $3,863
South Carolina SC40$1,571+29%$955 – $2,808
West Virginia WV16$1,437+18%$1,273 – $2,075
North Carolina NC53$1,409+16%$817 – $2,074
Connecticut CT17$1,402+16%$1,117 – $2,527
Oregon OR37$1,399+15%$348 – $2,746
Colorado CO47$1,313+8%$872 – $2,632
Illinois IL84$1,293+7%$627 – $2,561
Ohio OH113$1,293+7%$773 – $2,535
Georgia GA61$1,281+6%$897 – $1,835
Indiana IN64$1,272+5%$699 – $1,748
Texas TX117$1,2130%$707 – $2,568
Virginia VA45$1,197−1%$873 – $2,076
Missouri MO38$1,146−6%$578 – $1,678
Iowa IA29$1,146−6%$562 – $1,766
Wisconsin WI78$1,087−10%$383 – $2,034
Kentucky KY24$1,081−11%$815 – $2,220
Arizona AZ33$1,063−12%$823 – $4,709
Massachusetts MA38$979−19%$587 – $2,137
New York NY71$972−20%$630 – $1,725
New Hampshire NH10$945−22%$143 – $1,489
New Jersey NJ55$939−23%$779 – $4,500
Hawaii HI14$935−23%$554 – $2,485
Louisiana LA35$922−24%$550 – $1,435
Kansas KS27$898−26%$558 – $1,572
Minnesota MN45$898−26%$638 – $2,773
Pennsylvania PA107$869−28%$559 – $2,063
Alabama AL23$834−31%$646 – $6,624
Tennessee TN42$748−38%$417 – $955
Maine ME12$748−38%$471 – $1,210
Michigan MI73$741−39%$304 – $1,936
Nebraska NE19$699−42%$438 – $1,636
Arkansas AR13$691−43%$386 – $1,702
Montana MT11$689−43%$501 – $1,132
Oklahoma OK28$600−51%$460 – $1,434
Mississippi MS32$581−52%$458 – $726
North Dakota ND9not enough hospitals filed a usable price
New Mexico NM9not enough hospitals filed a usable price
Alaska AK8not enough hospitals filed a usable price
Delaware DE6not enough hospitals filed a usable price
Rhode Island RI6not enough hospitals filed a usable price
Maryland MD5not enough hospitals filed a usable price
Vermont VT4not enough hospitals filed a usable price
Wyoming WY4not enough hospitals filed a usable price
South Dakota SD2not enough hospitals filed a usable price

Hospitals like yours

The same distribution cut by the kind of hospital. Hospital type and ownership come from CMS; a hospital counts as part of a system when its price file is shared with at least one other hospital under the same brand. The national median is $1,213.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,674$1,252$699 – $2,444
Children’s30$1,096$771 – $1,702
Critical access226$912$417 – $1,909
Ownership
For-profit183$1,443$707 – $2,632
Government259$1,054$636 – $2,074
Non-profit1,488$1,216$674 – $2,429
System affiliation
Part of a system1,664$1,245$689 – $2,447
Independent274$1,028$570 – $1,961

Cash price vs list price

Median list price (chargemaster)$2,348
Median cash price$1,213
Cash as a share of list, median hospital60%

At the typical hospital, asking for the cash price cuts the list price by about 40%. The share is the median of each hospital’s own cash ÷ list ratio, over hospitals that filed both — not the ratio of the two medians above.

The same procedure, inpatient

1,519 hospitals filed a usable inpatient cash price for this code. The median is $1,281 and the average of the middle 60% is $1,390; most fall between $707 and $2,448.

Cash price percentiles, inpatient, across 1,519 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$468$802$1,281$2,175$3,590

The most expensive tenth of hospitals charges at least 7.7× what the cheapest tenth charges ($468 vs $3,590).

Of the 1,614 hospitals that filed this code inpatient, 1,519 gave a usable cash price; 32 carried a plausibility flag, 1 filed a number their own filing marks as not a price, 0 gave an estimate, and 62 a list price only.

How complete is this

1,938 of the 3,956 hospitals with a price file in our corpus (49%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 2,075 hospitals that filed this code at all gave us
Usable cash price — counted1,938
Cash price carrying a plausibility flag — shown on the compare tool, excluded here62
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded5
A list price only, no cash figure — excluded69
Hospitals that filed this code2,075

Sections not shown for this setting

  • Since our last snapshot: there is no earlier snapshot at least 90 days older than this one yet.

We last checked these hospitals’ price files for changes between July 20, 2026 and September 24, 2026; the figures were computed September 25, 2026 from filings loaded through September 24, 2026. The percentiles and averages use only the “counted” row.

Related procedures

Part of the Other diagnostic procedures on skin and subcutaneous tissue family.

Hospitals file this code under descriptions such as Fine Needle Aspiration Bx W/CT Gdn 1st Lesion.

Method

Source
The machine-readable price files every U.S. hospital is required by CMS to publish, parsed per hospital. Nothing is surveyed, sampled or modelled.
What counts
One cash (self-pay) price per hospital for this code and setting. A hospital’s own filing can rule its number out — a placeholder, a “not applicable” note, a list price standing in for cash — and our plausibility checks can flag a price far below what every other hospital files. Both kinds are disclosed above and excluded from the statistics; on the compare tool a flagged price is still shown.
Statistics
Percentiles are discrete: each is a price some hospital filed. The average is the mean of the prices between the 20th and 80th percentiles. We never publish the plain mean, the minimum or the maximum. A state needs 10 hospitals and a segment 20 to show a figure; otherwise the row shows its count and no number. Medicare is the national unadjusted OPPS rate where one exists.
Names
Procedure names on these pages are our own plain-language titles, not the AMA’s copyrighted CPT descriptors. The code is the identity.

The full rules — sources, statistics, thresholds, limitations — are on the methodology page.

Download this page’s figures: JSON · CSV. Aggregates only — the per-hospital prices are on the compare tool.

Cite: HospitalRates.com, “Needle biopsy of a lump using CT guidance, first lump (CPT 10009) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-10009-needle-biopsy-of-a-lump-using-ct-guidance-first-lump