Placement of locating device in breast using ultrasound guidance, first growth
Medicare pricing data for 6,152 providers across 51 states
This procedure has a 6.8x markup — hospitals charge $854.54 but Medicare allows only $126.18. Uninsured patients may face bills 6.8 times higher than what insurance negotiates. Prices vary significantly by location — from $72 in Vermont to $259 in Wyoming. 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 ultrasound guidance, first growth (HCPCS code 19285) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $126.18, but hospitals typically charge $854.54 — a 6.8x 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 $126.18, your out-of-pocket cost would be approximately $25.24. 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 6.8x more than what Medicare allows for this procedure. Medicare actually pays $99.03 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Wyoming | $259 | $964 | 19 | 67 | +105.3% |
| New Mexico | $233 | $1,163 | 31 | 196 | +84.8% |
| Maryland | $214 | $971 | 114 | 599 | +69.5% |
| Washington | $176 | $822 | 152 | 647 | +39.8% |
| North Carolina | $176 | $1,122 | 235 | 1,018 | +39.3% |
| Arizona | $175 | $819 | 102 | 636 | +38.6% |
| Minnesota | $171 | $813 | 170 | 732 | +35.9% |
| Nevada | $169 | $951 | 27 | 62 | +33.6% |
| California | $162 | $1,127 | 531 | 2,891 | +28.2% |
| Hawaii | $153 | $794 | 23 | 88 | +21.4% |
| Montana | $150 | $637 | 32 | 139 | +19.0% |
| Florida | $149 | $995 | 369 | 1,962 | +18.2% |
| New Jersey | $145 | $1,061 | 127 | 494 | +14.5% |
| Oregon | $142 | $799 | 90 | 341 | +12.7% |
| Arkansas | $141 | $586 | 47 | 194 | +11.9% |
| Colorado | $140 | $661 | 114 | 578 | +11.0% |
| New York | $139 | $1,410 | 305 | 1,298 | +10.1% |
| New Hampshire | $132 | $1,225 | 36 | 136 | +4.3% |
| South Dakota | $131 | $641 | 27 | 117 | +3.5% |
| Texas | $125 | $1,012 | 375 | 1,791 | -0.7% |
| Wisconsin | $120 | $1,460 | 201 | 614 | -4.6% |
| District of Columbia | $117 | $1,213 | 39 | 298 | -7.4% |
| Utah | $114 | $512 | 42 | 153 | -9.5% |
| Iowa | $112 | $676 | 64 | 161 | -11.3% |
| Indiana | $111 | $630 | 150 | 798 | -11.7% |
| Kansas | $107 | $597 | 70 | 298 | -14.9% |
| Nebraska | $106 | $959 | 61 | 251 | -15.9% |
| Illinois | $105 | $634 | 289 | 1,249 | -16.6% |
| Tennessee | $104 | $702 | 136 | 527 | -17.8% |
| Alaska | $103 | $1,500 | 20 | 88 | -18.2% |
| Massachusetts | $100 | $512 | 195 | 913 | -20.7% |
| Virginia | $98 | $839 | 177 | 1,178 | -22.6% |
| Oklahoma | $97 | $650 | 54 | 290 | -22.9% |
| Georgia | $93 | $822 | 173 | 714 | -26.5% |
| Ohio | $93 | $780 | 254 | 1,217 | -26.5% |
| Maine | $92 | $333 | 33 | 135 | -27.3% |
| Connecticut | $91 | $700 | 91 | 317 | -27.7% |
| Pennsylvania | $89 | $544 | 269 | 1,110 | -29.1% |
| Kentucky | $89 | $526 | 78 | 374 | -29.2% |
| Michigan | $88 | $497 | 208 | 821 | -30.2% |
| Louisiana | $87 | $525 | 79 | 351 | -31.4% |
| Rhode Island | $85 | $390 | 22 | 112 | -32.7% |
| Missouri | $85 | $637 | 156 | 758 | -32.9% |
| Delaware | $83 | $271 | 17 | 148 | -34.2% |
| North Dakota | $80 | $498 | 19 | 74 | -36.5% |
| South Carolina | $80 | $547 | 82 | 491 | -36.6% |
| Mississippi | $80 | $954 | 57 | 244 | -36.7% |
| West Virginia | $78 | $350 | 27 | 113 | -37.8% |
| Alabama | $78 | $611 | 98 | 359 | -37.8% |
| Idaho | $78 | $469 | 37 | 200 | -38.1% |
| Vermont | $72 | $432 | 8 | 43 | -42.7% |
⚠️ 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