Biopsy of breast and placement of locating device using ultrasound, first growth
Medicare pricing data for 10,966 providers across 52 states
This procedure has a 5.7x markup — hospitals charge $1,566 but Medicare allows only $273.13. Uninsured patients may face bills 5.7 times higher than what insurance negotiates. Prices vary significantly by location — from $158 in Idaho to $454 in Maryland. Where you get this procedure matters more than almost any other factor. Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.
💡 What You Should Know
Biopsy of breast and placement of locating device using ultrasound, first growth (HCPCS code 19083) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $273.13, but hospitals typically charge $1,566 — a 5.7x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $273.13, your out-of-pocket cost would be approximately $54.63. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 5.7x more than what Medicare allows for this procedure. Medicare actually pays $213.48 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Maryland | $454 | $1,698 | 187 | 2,677 | +66.2% |
| Arizona | $392 | $1,785 | 169 | 2,251 | +43.4% |
| New York | $381 | $2,713 | 630 | 7,532 | +39.5% |
| Nevada | $375 | $1,871 | 97 | 689 | +37.5% |
| Wyoming | $366 | $1,445 | 35 | 256 | +34.0% |
| New Jersey | $363 | $2,043 | 300 | 3,387 | +33.1% |
| New Mexico | $342 | $1,980 | 62 | 612 | +25.2% |
| California | $331 | $1,728 | 975 | 10,228 | +21.1% |
| District of Columbia | $328 | $2,057 | 54 | 802 | +20.0% |
| Florida | $319 | $1,766 | 687 | 7,748 | +16.8% |
| Washington | $315 | $1,432 | 276 | 2,624 | +15.3% |
| Hawaii | $314 | $1,301 | 44 | 369 | +14.8% |
| North Carolina | $305 | $1,771 | 407 | 3,661 | +11.7% |
| Puerto Rico | $303 | $391 | 29 | 96 | +11.0% |
| Colorado | $301 | $2,994 | 186 | 2,099 | +10.2% |
| Connecticut | $294 | $1,576 | 174 | 1,350 | +7.7% |
| Alaska | $289 | $3,074 | 34 | 350 | +5.8% |
| Rhode Island | $288 | $1,388 | 49 | 591 | +5.5% |
| Iowa | $278 | $1,669 | 139 | 1,157 | +1.9% |
| Minnesota | $278 | $1,622 | 264 | 2,021 | +1.9% |
| Kansas | $278 | $1,011 | 155 | 1,137 | +1.8% |
| Oregon | $276 | $1,136 | 141 | 1,074 | +1.0% |
| Tennessee | $274 | $1,395 | 298 | 2,581 | +0.4% |
| Virginia | $272 | $1,311 | 309 | 3,536 | -0.3% |
| Georgia | $253 | $1,432 | 307 | 3,016 | -7.4% |
| Texas | $248 | $1,649 | 674 | 5,864 | -9.0% |
| Delaware | $247 | $938 | 30 | 431 | -9.5% |
| New Hampshire | $241 | $2,190 | 78 | 558 | -11.6% |
| Mississippi | $239 | $1,252 | 113 | 948 | -12.6% |
| Arkansas | $238 | $1,054 | 91 | 1,150 | -13.0% |
| Nebraska | $225 | $1,393 | 108 | 877 | -17.7% |
| Wisconsin | $224 | $2,639 | 314 | 1,926 | -18.0% |
| Montana | $216 | $1,041 | 45 | 376 | -20.7% |
| Massachusetts | $215 | $1,050 | 297 | 3,108 | -21.3% |
| Utah | $210 | $763 | 89 | 591 | -23.0% |
| Illinois | $202 | $1,194 | 491 | 4,856 | -26.1% |
| Pennsylvania | $200 | $1,049 | 439 | 4,795 | -26.7% |
| Alabama | $196 | $1,011 | 162 | 1,148 | -28.2% |
| South Dakota | $196 | $647 | 39 | 492 | -28.2% |
| South Carolina | $196 | $1,066 | 147 | 2,025 | -28.4% |
| Louisiana | $193 | $1,144 | 157 | 1,349 | -29.3% |
| Indiana | $191 | $1,106 | 257 | 2,199 | -30.0% |
| Kentucky | $182 | $785 | 141 | 1,417 | -33.3% |
| Michigan | $180 | $755 | 326 | 3,065 | -34.2% |
| Missouri | $177 | $1,012 | 246 | 2,594 | -35.0% |
| Maine | $176 | $616 | 72 | 462 | -35.6% |
| North Dakota | $174 | $1,512 | 33 | 522 | -36.2% |
| Oklahoma | $173 | $1,090 | 113 | 1,496 | -36.6% |
| Vermont | $172 | $1,485 | 20 | 242 | -37.1% |
| Ohio | $171 | $1,417 | 342 | 3,693 | -37.5% |
| West Virginia | $163 | $856 | 65 | 535 | -40.2% |
| Idaho | $158 | $986 | 58 | 506 | -42.2% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber