Placement of locating device in breast using imaging guidance, first growth
Medicare pricing data for 5,381 providers across 50 states
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
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.
What Hospitals Charge vs. What Medicare Pays
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
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Arizona | $179 | $692 | 69 | 352 | +51.6% |
| Maryland | $173 | $624 | 97 | 486 | +46.5% |
| Hawaii | $167 | $757 | 13 | 68 | +41.1% |
| Minnesota | $166 | $901 | 84 | 244 | +40.2% |
| Oregon | $156 | $552 | 56 | 191 | +32.2% |
| New Mexico | $151 | $748 | 20 | 70 | +28.2% |
| Montana | $138 | $438 | 23 | 90 | +16.8% |
| California | $134 | $751 | 462 | 2,047 | +13.7% |
| North Carolina | $133 | $699 | 247 | 1,024 | +12.3% |
| Arkansas | $132 | $460 | 47 | 118 | +12.0% |
| Nebraska | $129 | $583 | 44 | 169 | +9.2% |
| New Jersey | $128 | $697 | 179 | 1,169 | +8.1% |
| Washington | $127 | $483 | 138 | 672 | +7.3% |
| Colorado | $125 | $586 | 55 | 141 | +5.4% |
| New York | $124 | $1,124 | 364 | 2,367 | +4.9% |
| Florida | $123 | $781 | 306 | 1,353 | +4.0% |
| District of Columbia | $119 | $686 | 30 | 91 | +1.0% |
| Iowa | $116 | $590 | 73 | 412 | -2.1% |
| Connecticut | $114 | $566 | 100 | 369 | -3.9% |
| Oklahoma | $111 | $576 | 39 | 105 | -6.2% |
| Texas | $110 | $751 | 297 | 937 | -6.9% |
| North Dakota | $108 | $717 | 30 | 136 | -8.6% |
| Georgia | $107 | $706 | 182 | 598 | -9.4% |
| Pennsylvania | $106 | $442 | 284 | 1,256 | -10.5% |
| Michigan | $106 | $429 | 192 | 687 | -10.6% |
| Massachusetts | $106 | $448 | 200 | 1,248 | -10.6% |
| Indiana | $105 | $488 | 123 | 496 | -10.8% |
| Mississippi | $105 | $615 | 43 | 132 | -10.9% |
| South Dakota | $105 | $238 | 25 | 128 | -11.1% |
| Wisconsin | $105 | $1,080 | 135 | 354 | -11.2% |
| Illinois | $105 | $701 | 264 | 971 | -11.3% |
| Ohio | $105 | $666 | 189 | 523 | -11.5% |
| Missouri | $103 | $454 | 138 | 571 | -13.0% |
| Maine | $101 | $368 | 22 | 76 | -14.1% |
| Rhode Island | $101 | $442 | 27 | 191 | -14.8% |
| Virginia | $100 | $563 | 127 | 579 | -15.3% |
| Delaware | $99 | $313 | 14 | 78 | -15.9% |
| Kansas | $99 | $285 | 34 | 83 | -16.0% |
| Tennessee | $98 | $675 | 121 | 381 | -17.0% |
| New Hampshire | $97 | $1,527 | 22 | 96 | -17.6% |
| Nevada | $97 | $678 | 39 | 83 | -18.2% |
| South Carolina | $96 | $691 | 94 | 543 | -19.1% |
| Alabama | $95 | $501 | 74 | 188 | -19.8% |
| Louisiana | $94 | $438 | 62 | 207 | -20.1% |
| Kentucky | $93 | $374 | 64 | 280 | -21.3% |
| West Virginia | $93 | $399 | 36 | 101 | -21.3% |
| Idaho | $92 | $546 | 24 | 70 | -22.1% |
| Puerto Rico | $89 | $236 | 6 | 23 | -24.4% |
| Vermont | $89 | $1,494 | 8 | 24 | -24.9% |
| Utah | $87 | $375 | 25 | 49 | -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.
💊 Need post-procedure medications? Check costs on OpenPrescriber