Price Checker / CPT 19000
How much does Puncture Aspir Cyst Breast cost?
CPT 19000 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is roughly 5.8x the fair price. This is well above fair — push back or dispute it.
Fair price
$140–$290
What this should cost
With insurance
~$58,900
Typical out-of-pocket
Overcharged if over
$360
Push back above this
The average hospital charge of $1,285 is $1,065 over the fair price (about 5.8x the fair rate).
What hospitals charge for Puncture Aspir Cyst Breast
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| St. Elizabeth Hospital Fort Morgan, CO | $950 | — | 13116% |
| Soldiers & Sailors Memorial Hospital , NY | $2,498 | $999 | 2497% |
| Memorial Hospital and Manor BAINBRIDGE, GA | $1,624 | $1,137 | 1588% |
| Edgerton Hospital and Health Services EDGERTON, WI | $1,224 | $894 | 1172% |
| EHHS Milton Clinic , WI | $1,224 | $894 | 1172% |
| EHHS Milton Clinic Medicare , WI | $191 | $139 | 99% |
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 Puncture Aspir Cyst Breast
CPT code 19000 refers to puncture aspir cyst breast (billing description: "Puncture aspir cyst breast"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $36 in a facility (hospital or surgery center) and $96 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.