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

Open surgical biopsy of a breast lump

CPT 19101the billing code this page is about

Through a skin incision, the surgeon cuts out part of a breast lump or abnormal tissue so it can be examined in the laboratory.

Hospitals typically charge $2,041 cash for this outpatient procedure — the median across 1,154 hospitals that filed a usable cash price; the average of the middle 60% is $2,494. Most fall between $550 and $5,481 (20th–80th percentile).

Hospitals
1,154
States
49
Filings dated
Aug 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 1,154 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
$368$630$2,041$4,992$8,347

The most expensive tenth of hospitals charges at least 23× what the cheapest tenth charges ($368 vs $8,347).

How the prices are spread

$278 – $402: 76 hospitals$278$402 – $581: 116 hospitals$581 – $841: 139 hospitals$581$841 – $1,216: 71 hospitals$1,216 – $1,758: 90 hospitals$1,216$1,758 – $2,543: 71 hospitals$2,543 – $3,677: 75 hospitals$2,543$3,677 – $5,318: 220 hospitals$5,318 – $7,690: 104 hospitals$5,318$7,690 – $11,122: 88 hospitals$7,690median $2,041price bands are equal on a log scale
Hospitals per price band (1,050 of 1,154 — the bands cover the 5th to 95th percentile)
FromToHospitals
$278$40276
$402$581116
$581$841139
$841$1,21671
$1,216$1,75890
$1,758$2,54371
$2,543$3,67775
$3,677$5,318220
$5,318$7,690104
$7,690$11,12288

Against Medicare

Medicare pays (OPPS 2026, national rate)$4,000
Median cash price$2,041
Cash as a multiple of Medicare0.51×

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 $2,041.

Alaska: 6 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 8 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 8 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: median $505 across 10 hospitalsNH$505Washington: median $2,214 across 43 hospitalsWA$2,214Idaho: median $3,238 across 15 hospitalsID$3,238Montana: median $606 across 15 hospitalsMT$606North Dakota: 8 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $1,262 across 38 hospitalsMN$1,262Illinois: median $1,120 across 46 hospitalsIL$1,120Wisconsin: median $1,507 across 53 hospitalsWI$1,507Michigan: median $426 across 33 hospitalsMI$426New York: median $3,829 across 49 hospitalsNY$3,829Massachusetts: median $3,856 across 18 hospitalsMA$3,856Oregon: median $677 across 31 hospitalsOR$677Nevada: 7 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 9 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: median $905 across 11 hospitalsSD$905Iowa: median $815 across 43 hospitalsIA$815Indiana: median $850 across 31 hospitalsIN$850Ohio: median $3,973 across 40 hospitalsOH$3,973Pennsylvania: median $1,614 across 44 hospitalsPA$1,614New Jersey: median $4,875 across 34 hospitalsNJ$4,875Connecticut: 7 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 5 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $5,011 across 74 hospitalsCA$5,011Utah: 4 hospitals filed a usable price — fewer than 10, so no figureUTColorado: median $3,151 across 21 hospitalsCO$3,151Nebraska: median $923 across 24 hospitalsNE$923Missouri: median $2,179 across 33 hospitalsMO$2,179Kentucky: median $614 across 19 hospitalsKY$614West Virginia: median $2,442 across 24 hospitalsWV$2,442Virginia: median $5,077 across 29 hospitalsVA$5,077Maryland: 2 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: no hospital in the corpus filed a usable priceDEArizona: median $15,798 across 16 hospitalsAZ$15,798New Mexico: median $5,926 across 11 hospitalsNM$5,926Kansas: median $660 across 36 hospitalsKS$660Arkansas: 9 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $1,397 across 25 hospitalsTN$1,397North Carolina: median $1,818 across 20 hospitalsNC$1,818South Carolina: 6 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $415 across 21 hospitalsOK$415Louisiana: median $2,033 across 22 hospitalsLA$2,033Mississippi: median $1,386 across 20 hospitalsMS$1,386Alabama: median $935 across 10 hospitalsAL$935Georgia: median $5,774 across 27 hospitalsGA$5,774Hawaii: 7 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $4,365 across 65 hospitalsTX$4,365Florida: median $8,491 across 17 hospitalsFL$8,491
Cash price by state, most expensive first. National median $2,041. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Arizona AZ16$15,798+674%$3,657 – $15,798
Florida FL17$8,491+316%$521 – $9,334
New Mexico NM11$5,926+190%$410 – $8,103
Georgia GA27$5,774+183%$3,908 – $6,921
Virginia VA29$5,077+149%$2,805 – $6,142
California CA74$5,011+146%$3,375 – $11,122
New Jersey NJ34$4,875+139%$4,238 – $5,855
Texas TX65$4,365+114%$3,215 – $5,120
Ohio OH40$3,973+95%$537 – $7,467
Massachusetts MA18$3,856+89%$1,862 – $5,635
New York NY49$3,829+88%$461 – $4,888
Idaho ID15$3,238+59%$404 – $10,392
Colorado CO21$3,151+54%$832 – $5,168
West Virginia WV24$2,442+20%$397 – $5,888
Washington WA43$2,214+8%$692 – $8,321
Missouri MO33$2,179+7%$414 – $4,159
Louisiana LA22$2,0330%$987 – $3,518
North Carolina NC20$1,818−11%$730 – $3,869
Pennsylvania PA44$1,614−21%$164 – $5,244
Wisconsin WI53$1,507−26%$600 – $3,275
Tennessee TN25$1,397−32%$478 – $4,460
Mississippi MS20$1,386−32%$493 – $3,030
Minnesota MN38$1,262−38%$575 – $1,909
Illinois IL46$1,120−45%$441 – $5,265
Alabama AL10$935−54%$379 – $4,993
Nebraska NE24$923−55%$650 – $2,012
South Dakota SD11$905−56%$905 – $2,325
Indiana IN31$850−58%$403 – $1,374
Iowa IA43$815−60%$384 – $1,010
Oregon OR31$677−67%$583 – $9,349
Kansas KS36$660−68%$442 – $2,370
Kentucky KY19$614−70%$403 – $15,376
Montana MT15$606−70%$292 – $960
New Hampshire NH10$505−75%$202 – $617
Michigan MI33$426−79%$365 – $3,729
Oklahoma OK21$415−80%$367 – $4,110
Arkansas AR9not enough hospitals filed a usable price
Wyoming WY9not enough hospitals filed a usable price
Maine ME8not enough hospitals filed a usable price
North Dakota ND8not enough hospitals filed a usable price
Vermont VT8not enough hospitals filed a usable price
Connecticut CT7not enough hospitals filed a usable price
Hawaii HI7not enough hospitals filed a usable price
Nevada NV7not enough hospitals filed a usable price
Alaska AK6not enough hospitals filed a usable price
South Carolina SC6not enough hospitals filed a usable price
Rhode Island RI5not enough hospitals filed a usable price
Utah UT4not enough hospitals filed a usable price
Maryland MD2not 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 $2,041.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care824$3,729$638 – $6,594
Children’s10fewer than 20 hospitals
Critical access317$734$427 – $2,179
Ownership
For-profit109$4,390$1,156 – $8,722
Government227$963$472 – $4,445
Non-profit815$2,106$555 – $5,384
System affiliation
Part of a system883$2,666$595 – $5,888
Independent271$964$448 – $4,292

Cash price vs list price

Median list price (chargemaster)$3,409
Median cash price$2,041
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

677 hospitals filed a usable inpatient cash price for this code. The median is $2,325 and the average of the middle 60% is $2,682; most fall between $535 and $5,946.

Cash price percentiles, inpatient, across 677 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
$379$617$2,325$5,120$8,874

The most expensive tenth of hospitals charges at least 23× what the cheapest tenth charges ($379 vs $8,874).

Of the 749 hospitals that filed this code inpatient, 677 gave a usable cash price; 28 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 44 a list price only.

How complete is this

1,154 of the 3,956 hospitals with a price file in our corpus (29%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,275 hospitals that filed this code at all gave us
Usable cash price — counted1,154
Cash price carrying a plausibility flag — shown on the compare tool, excluded here64
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded3
A list price only, no cash figure — excluded54
Hospitals that filed this code1,275

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 PR Biopsy of Breast, Incisional.

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, “Open surgical biopsy of a breast lump (CPT 19101) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-19101-open-surgical-biopsy-of-a-breast-lump