19281

Placement of locating device in breast using imaging guidance, first growth

Medicare pricing data for 5,381 providers across 50 states

🤖AI Overview

This procedure has a 5.7x markup — hospitals charge $677.88 but Medicare allows only $118.18. Uninsured patients may face bills 5.7 times higher than what insurance negotiates. Prices vary significantly by location — from $87 in Utah to $179 in Arizona. 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

Placement of locating device in breast using imaging guidance, first growth (HCPCS code 19281) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $118.18, but hospitals typically charge $677.88 — a 5.7x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$23.64

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $118.18, your out-of-pocket cost would be approximately $23.64. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$118.18
Average Hospital Charge
$677.88
Markup Ratio
5.7x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$677.88
Medicare Allowed$118.18
Medicare Payment$92.22

Hospitals charge 5.7x more than what Medicare allows for this procedure. Medicare actually pays $92.22 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Arizona$179$69269352+51.6%
Maryland$173$62497486+46.5%
Hawaii$167$7571368+41.1%
Minnesota$166$90184244+40.2%
Oregon$156$55256191+32.2%
New Mexico$151$7482070+28.2%
Montana$138$4382390+16.8%
California$134$7514622,047+13.7%
North Carolina$133$6992471,024+12.3%
Arkansas$132$46047118+12.0%
Nebraska$129$58344169+9.2%
New Jersey$128$6971791,169+8.1%
Washington$127$483138672+7.3%
Colorado$125$58655141+5.4%
New York$124$1,1243642,367+4.9%
Florida$123$7813061,353+4.0%
District of Columbia$119$6863091+1.0%
Iowa$116$59073412-2.1%
Connecticut$114$566100369-3.9%
Oklahoma$111$57639105-6.2%
Texas$110$751297937-6.9%
North Dakota$108$71730136-8.6%
Georgia$107$706182598-9.4%
Pennsylvania$106$4422841,256-10.5%
Michigan$106$429192687-10.6%
Massachusetts$106$4482001,248-10.6%
Indiana$105$488123496-10.8%
Mississippi$105$61543132-10.9%
South Dakota$105$23825128-11.1%
Wisconsin$105$1,080135354-11.2%
Illinois$105$701264971-11.3%
Ohio$105$666189523-11.5%
Missouri$103$454138571-13.0%
Maine$101$3682276-14.1%
Rhode Island$101$44227191-14.8%
Virginia$100$563127579-15.3%
Delaware$99$3131478-15.9%
Kansas$99$2853483-16.0%
Tennessee$98$675121381-17.0%
New Hampshire$97$1,5272296-17.6%
Nevada$97$6783983-18.2%
South Carolina$96$69194543-19.1%
Alabama$95$50174188-19.8%
Louisiana$94$43862207-20.1%
Kentucky$93$37464280-21.3%
West Virginia$93$39936101-21.3%
Idaho$92$5462470-22.1%
Puerto Rico$89$236623-24.4%
Vermont$89$1,494824-24.9%
Utah$87$3752549-26.7%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

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💊 Need post-procedure medications? Check costs on OpenPrescriber