Biopsy of breast and placement of locating device using ultrasound, each additional growth
Medicare pricing data for 2,122 providers across 51 states
Prices vary significantly by location — from $72 in Idaho to $439 in District of Columbia. Where you get this procedure matters more than almost any other factor. This is a specialized procedure with relatively few Medicare claims. Pricing data may be less reliable due to smaller sample sizes. 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, each additional growth (HCPCS code 19084) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $332.40, but hospitals typically charge $1,546 — a 4.7x 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 $332.40, your out-of-pocket cost would be approximately $66.48. 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 4.7x more than what Medicare allows for this procedure. Medicare actually pays $265.20 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| District of Columbia | $439 | $1,792 | 16 | 47 | +32.1% |
| Hawaii | $416 | $1,475 | 5 | 20 | +25.0% |
| California | $414 | $1,749 | 195 | 572 | +24.5% |
| Maryland | $409 | $1,543 | 69 | 275 | +23.1% |
| Alaska | $405 | $2,807 | 9 | 12 | +21.9% |
| Rhode Island | $405 | $1,762 | 8 | 23 | +21.8% |
| New Jersey | $388 | $2,070 | 86 | 287 | +16.8% |
| Wyoming | $386 | $1,278 | 5 | 14 | +16.0% |
| Oregon | $381 | $1,720 | 26 | 69 | +14.5% |
| Washington | $378 | $1,711 | 70 | 199 | +13.8% |
| New York | $378 | $2,422 | 217 | 659 | +13.6% |
| Arizona | $368 | $1,577 | 62 | 233 | +10.6% |
| Minnesota | $367 | $1,844 | 55 | 107 | +10.4% |
| Nevada | $365 | $1,650 | 21 | 59 | +9.9% |
| South Carolina | $344 | $1,075 | 12 | 29 | +3.6% |
| New Mexico | $343 | $1,546 | 15 | 64 | +3.3% |
| New Hampshire | $341 | $1,724 | 8 | 18 | +2.5% |
| Kansas | $341 | $960 | 31 | 69 | +2.5% |
| Virginia | $339 | $1,227 | 68 | 218 | +2.0% |
| North Carolina | $336 | $1,689 | 96 | 248 | +1.1% |
| Nebraska | $334 | $1,939 | 13 | 33 | +0.4% |
| Texas | $327 | $1,400 | 114 | 275 | -1.7% |
| Delaware | $326 | $1,450 | 4 | 13 | -1.8% |
| Utah | $323 | $914 | 6 | 14 | -2.9% |
| Florida | $322 | $1,368 | 198 | 597 | -3.1% |
| Georgia | $311 | $1,292 | 35 | 96 | -6.3% |
| Wisconsin | $310 | $2,659 | 38 | 82 | -6.7% |
| Connecticut | $309 | $1,427 | 41 | 102 | -6.9% |
| Oklahoma | $308 | $1,003 | 8 | 18 | -7.4% |
| Arkansas | $304 | $1,244 | 21 | 56 | -8.6% |
| Louisiana | $301 | $876 | 13 | 40 | -9.6% |
| Tennessee | $300 | $1,404 | 57 | 144 | -9.7% |
| Iowa | $294 | $1,434 | 26 | 85 | -11.6% |
| Colorado | $293 | $920 | 35 | 112 | -11.9% |
| Michigan | $270 | $1,036 | 38 | 85 | -18.7% |
| Massachusetts | $265 | $1,163 | 33 | 79 | -20.4% |
| Alabama | $264 | $1,133 | 14 | 19 | -20.5% |
| Illinois | $251 | $1,233 | 77 | 239 | -24.6% |
| Indiana | $250 | $796 | 35 | 71 | -24.8% |
| Mississippi | $217 | $1,011 | 18 | 50 | -34.7% |
| Missouri | $215 | $731 | 22 | 46 | -35.3% |
| Kentucky | $210 | $580 | 20 | 41 | -36.9% |
| Pennsylvania | $165 | $868 | 94 | 237 | -50.3% |
| Ohio | $132 | $775 | 48 | 124 | -60.2% |
| Maine | $113 | $356 | 11 | 29 | -66.0% |
| Montana | $77 | $383 | 13 | 22 | -76.9% |
| West Virginia | $76 | $442 | 29 | 58 | -77.2% |
| Vermont | $75 | $1,399 | 12 | 24 | -77.5% |
| North Dakota | $75 | $852 | 19 | 66 | -77.6% |
| South Dakota | $73 | $196 | 15 | 53 | -78.0% |
| Idaho | $72 | $353 | 24 | 64 | -78.3% |
⚠️ 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