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Procedure price report · Breast biopsy and other diagnostic procedures on breast

Breast biopsy with X-ray mapping guidance, first lesion

CPT 19081the billing code this page is about

A needle sample is taken from a breast lesion using stereotactic X-ray guidance, including placement of a marker clip and the imaging used; covers the first lesion sampled.

Hospitals typically charge $2,666 cash for this outpatient procedure — the median across 2,103 hospitals that filed a usable cash price; the average of the middle 60% is $2,796. Most fall between $1,439 and $4,523 (20th–80th percentile).

Hospitals
2,103
States
50
Filings dated
Mar 2023 – 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 2,103 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
$808$1,648$2,666$4,225$5,733

The most expensive tenth of hospitals charges at least 7.1× what the cheapest tenth charges ($808 vs $5,733).

How the prices are spread

$437 – $578: 50 hospitals$437$578 – $766: 43 hospitals$766 – $1,015: 72 hospitals$766$1,015 – $1,344: 122 hospitals$1,344 – $1,781: 238 hospitals$1,344$1,781 – $2,359: 311 hospitals$2,359 – $3,126: 289 hospitals$2,359$3,126 – $4,141: 321 hospitals$4,141 – $5,486: 308 hospitals$4,141$5,486 – $7,267: 147 hospitals$5,486median $2,666price bands are equal on a log scale
Hospitals per price band (1,901 of 2,103 — the bands cover the 5th to 95th percentile)
FromToHospitals
$437$57850
$578$76643
$766$1,01572
$1,015$1,344122
$1,344$1,781238
$1,781$2,359311
$2,359$3,126289
$3,126$4,141321
$4,141$5,486308
$5,486$7,267147

Against Medicare

Medicare pays (OPPS 2026, national rate)$1,687
Median cash price$2,666
Cash as a multiple of Medicare1.58×

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 $2,666.

Alaska: 8 hospitals filed a usable price — fewer than 10, so no figureAKMaine: median $2,378 across 14 hospitalsME$2,378Vermont: median $1,142 across 10 hospitalsVT$1,142New Hampshire: median $2,283 across 15 hospitalsNH$2,283Washington: median $2,033 across 41 hospitalsWA$2,033Idaho: median $3,565 across 15 hospitalsID$3,565Montana: median $878 across 17 hospitalsMT$878North Dakota: 8 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $1,735 across 65 hospitalsMN$1,735Illinois: median $2,760 across 94 hospitalsIL$2,760Wisconsin: median $1,711 across 82 hospitalsWI$1,711Michigan: median $2,171 across 74 hospitalsMI$2,171New York: median $2,865 across 83 hospitalsNY$2,865Massachusetts: median $2,231 across 42 hospitalsMA$2,231Oregon: median $2,632 across 38 hospitalsOR$2,632Nevada: median $1,796 across 10 hospitalsNV$1,796Wyoming: 8 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 9 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $3,021 across 45 hospitalsIA$3,021Indiana: median $3,095 across 68 hospitalsIN$3,095Ohio: median $3,924 across 123 hospitalsOH$3,924Pennsylvania: median $2,933 across 91 hospitalsPA$2,933New Jersey: median $2,162 across 57 hospitalsNJ$2,162Connecticut: median $5,247 across 21 hospitalsCT$5,247Rhode Island: 8 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $4,342 across 143 hospitalsCA$4,342Utah: median $3,565 across 29 hospitalsUT$3,565Colorado: median $2,976 across 45 hospitalsCO$2,976Nebraska: median $2,260 across 31 hospitalsNE$2,260Missouri: median $3,619 across 42 hospitalsMO$3,619Kentucky: median $2,187 across 32 hospitalsKY$2,187West Virginia: median $2,246 across 26 hospitalsWV$2,246Virginia: median $2,580 across 45 hospitalsVA$2,580Maryland: median $1,373 across 15 hospitalsMD$1,373Delaware: 6 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $2,027 across 26 hospitalsAZ$2,027New Mexico: median $2,009 across 14 hospitalsNM$2,009Kansas: median $1,555 across 29 hospitalsKS$1,555Arkansas: median $1,462 across 14 hospitalsAR$1,462Tennessee: median $1,344 across 47 hospitalsTN$1,344North Carolina: median $3,076 across 60 hospitalsNC$3,076South Carolina: median $3,795 across 39 hospitalsSC$3,795Oklahoma: median $1,995 across 34 hospitalsOK$1,995Louisiana: median $758 across 35 hospitalsLA$758Mississippi: median $1,645 across 30 hospitalsMS$1,645Alabama: median $2,583 across 26 hospitalsAL$2,583Georgia: median $2,339 across 72 hospitalsGA$2,339Hawaii: median $1,569 across 10 hospitalsHI$1,569Texas: median $3,497 across 124 hospitalsTX$3,497Florida: median $3,558 across 83 hospitalsFL$3,558
Cash price by state, most expensive first. National median $2,666. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Connecticut CT21$5,247+97%$2,312 – $5,717
California CA143$4,342+63%$2,043 – $5,660
Ohio OH123$3,924+47%$2,685 – $6,620
South Carolina SC39$3,795+42%$2,877 – $4,024
Missouri MO42$3,619+36%$1,497 – $4,523
Idaho ID15$3,565+34%$1,645 – $4,347
Utah UT29$3,565+34%$2,890 – $4,194
Florida FL83$3,558+33%$1,496 – $7,313
Texas TX124$3,497+31%$1,983 – $4,841
Indiana IN68$3,095+16%$1,738 – $4,312
North Carolina NC60$3,076+15%$1,512 – $3,718
Iowa IA45$3,021+13%$1,089 – $3,819
Colorado CO45$2,976+12%$1,628 – $4,799
Pennsylvania PA91$2,933+10%$1,864 – $6,461
New York NY83$2,865+7%$1,917 – $4,595
Illinois IL94$2,760+4%$1,122 – $5,013
Oregon OR38$2,632−1%$885 – $5,206
Alabama AL26$2,583−3%$1,333 – $4,893
Virginia VA45$2,580−3%$1,738 – $5,809
Maine ME14$2,378−11%$557 – $4,499
Georgia GA72$2,339−12%$1,648 – $3,735
New Hampshire NH15$2,283−14%$207 – $3,125
Nebraska NE31$2,260−15%$1,236 – $3,532
West Virginia WV26$2,246−16%$495 – $4,465
Massachusetts MA42$2,231−16%$1,426 – $4,003
Kentucky KY32$2,187−18%$781 – $4,764
Michigan MI74$2,171−19%$1,191 – $2,934
New Jersey NJ57$2,162−19%$1,793 – $5,419
Washington WA41$2,033−24%$1,489 – $3,440
Arizona AZ26$2,027−24%$1,033 – $8,540
New Mexico NM14$2,009−25%$903 – $3,381
Oklahoma OK34$1,995−25%$1,770 – $3,303
Nevada NV10$1,796−33%$555 – $4,637
Minnesota MN65$1,735−35%$1,432 – $2,509
Wisconsin WI82$1,711−36%$1,237 – $2,907
Mississippi MS30$1,645−38%$893 – $1,882
Hawaii HI10$1,569−41%$1,297 – $2,789
Kansas KS29$1,555−42%$686 – $2,772
Arkansas AR14$1,462−45%$1,052 – $2,632
Maryland MD15$1,373−48%$608 – $1,923
Tennessee TN47$1,344−50%$803 – $2,064
Vermont VT10$1,142−57%$808 – $3,854
Montana MT17$878−67%$540 – $2,582
Louisiana LA35$758−72%$505 – $2,403
South Dakota SD9not enough hospitals filed a usable price
Alaska AK8not enough hospitals filed a usable price
North Dakota ND8not enough hospitals filed a usable price
Rhode Island RI8not enough hospitals filed a usable price
Wyoming WY8not enough hospitals filed a usable price
Delaware DE6not 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 $2,666.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,760$2,825$1,563 – $4,734
Children’s14fewer than 20 hospitals
Critical access320$1,864$698 – $3,565
Ownership
For-profit204$2,745$1,143 – $4,765
Government299$2,241$1,153 – $3,715
Non-profit1,591$2,751$1,508 – $4,595
System affiliation
Part of a system1,747$2,801$1,574 – $4,595
Independent356$2,059$922 – $4,005

Cash price vs list price

Median list price (chargemaster)$4,827
Median cash price$2,666
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

1,573 hospitals filed a usable inpatient cash price for this code. The median is $2,944 and the average of the middle 60% is $2,997; most fall between $1,575 and $4,689.

Cash price percentiles, inpatient, across 1,573 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
$960$1,731$2,944$4,347$6,156

The most expensive tenth of hospitals charges at least 6.4× what the cheapest tenth charges ($960 vs $6,156).

Of the 1,698 hospitals that filed this code inpatient, 1,573 gave a usable cash price; 46 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 79 a list price only.

How complete is this

2,103 of the 3,956 hospitals with a price file in our corpus (53%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 2,286 hospitals that filed this code at all gave us
Usable cash price — counted2,103
Cash price carrying a plausibility flag — shown on the compare tool, excluded here88
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded8
A list price only, no cash figure — excluded87
Hospitals that filed this code2,286

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 September 4, 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 Breast biopsy and other diagnostic procedures on breast family.

Hospitals file this code under descriptions such as Bx Breast W/Device 1st Lesion Stereotactic Guid.

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, “Breast biopsy with X-ray mapping guidance, first lesion (CPT 19081) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-19081-breast-biopsy-with-x-ray-mapping-guidance-first-lesion