Price Checker / CPT 10021
How much does Fna Bx Without Img Gdn 1st Les cost?
CPT 10021 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is around 8.7x the fair price — among the most extreme markups. Dispute this.
Fair price
$470–$550
What this should cost
With insurance
~$103,000
Typical out-of-pocket
Overcharged if over
$690
Push back above this
The average hospital charge of $4,461 is $3,951 over the fair price (about 8.7x the fair rate).
What hospitals charge for Fna Bx Without Img Gdn 1st Les
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| Stony Brook Eastern Long Island Hospital , NY | $396 | — | 75280% |
| McLaren Flint FLINT, MI | $18,749 | $9,374 | 18487% |
| Pender Community Hospital Pender, NE | $10,021 | — | 9835% |
| UPMC Hamot ERIE, PA | — | — | 6506% |
| UPMC Chautauqua , NY | — | — | 5277% |
| UPMC Horizon-Greenville GREENVILLE, PA | $2,667 | $2,134 | 2544% |
| UPMC Horizon GREENVILLE, PA | $2,667 | $2,134 | 2544% |
| UPMC Horizon-Shenango GREENVILLE, PA | $2,667 | $2,134 | 2544% |
| UPMC Bedford , PA | $2,155 | $1,724 | 2036% |
| DeWitt Hospital and Nursing Home , AR | $950 | $950 | 842% |
| SGMC Health Lanier Campus LAKELAND, GA | $788 | — | 440% |
| BARAGA COUNTY MEMORIAL HOSPITAL L' ANSE, MI | $383 | $383 | 280% |
Were you billed for this procedure?
Send us your bill and we'll compare every line item against Medicare rates and your hospital's published prices. Free review, no obligation.
About Fna Bx Without Img Gdn 1st Les
CPT code 10021 refers to fna bx without img gdn 1st les (billing description: "Fna bx w/o img gdn 1st les"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $46 in a facility (hospital or surgery center) and $101 in a doctor's office.
The Medicare rate is the closest thing to an objective "what this work is actually worth." A fair cash price for the uninsured is generally 1.5–3x that rate. Hospital sticker (gross) charges are often far higher — but almost nobody actually pays them.
What to do if you were overcharged
- 1Send us your bill — we'll identify this code and compare it against the rates shown above.
- 2Get a dispute letter — citing the Medicare rate and your hospital's own published pricing data.
- 3We negotiate for you — 25% of savings, no savings = no fee.