Price Checker / CPT 19100
CPT 19100 — Bx breast percut w/o image
2026 Medicare Physician Fee Schedule rates and hospital pricing data
$62
What Medicare pays in a hospital/ASC setting
$163
What Medicare pays in a physician's office
$5,397
Based on 20 hospital(s) in our database
What do these numbers mean?
The Medicare rateis what the federal government determines is a fair payment for this procedure. It's based on the Relative Value Unit (RVU) system, which accounts for physician work, practice expense, and malpractice cost. Hospitals and providers often charge 3-20x this amount. If your bill is significantly higher than the Medicare rate, you may have grounds to negotiate.
Hospital Charges for CPT 19100
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| Mercy Regional Medical Center , CO | $10,834 | $4,334 | 6533% |
| St. Anthony Summit Medical Center , CO | $10,048 | $4,019 | 6052% |
| Mena Hospital Commission dba Mena Regional Health System , AR | $10,022 | $6,013 | 6036% |
| Mercy Hospital South , AR | $8,066 | $5,243 | 4838% |
| Mercy Hospital Washington , MO | $8,066 | $5,243 | 4838% |
| Garden City Hospital , MI | $7,310 | $1,884 | 4376% |
| HSHS Holy Family Hospital , IL | $5,613 | $4,041 | 3337% |
| UPMC Wellsboro , PA | $5,364 | $4,291 | 3184% |
| UPMC Bedford , PA | $5,305 | $4,244 | 3148% |
| Miners Colfax Medical Center , NM | $5,100 | $2,550 | 3023% |
| Coffey County Hospital , KS | $4,545 | $1,364 | 2683% |
| Coffey County Hospital Burlington, KS | $4,545 | — | 2544% |
| Cumberland Healthcare Cumberland, WI | $3,898 | — | 2287% |
| Southwest Health System , CO | $3,761 | $1,881 | 2203% |
| Goodland Regional Medical Center , KS | $3,371 | $3,034 | 1964% |
Were you billed for this procedure?
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About CPT 19100
CPT code 19100 refers to “Bx breast percut w/o image”. Under the 2026 Medicare Physician Fee Schedule, this procedure is reimbursed at $62 in a facility (hospital or ambulatory surgery center) and $163in a non-facility (physician's office) setting.
These rates are set by CMS (Centers for Medicare & Medicaid Services) and represent what the government considers a fair payment for this service. While commercial insurance typically pays somewhat more than Medicare, many hospitals charge significantly higher amounts — sometimes 10-50x the Medicare rate.
What to do if you were overcharged
- Upload your bill— we'll identify this code and compare it against the rates shown above.
- Get a dispute letter— citing the Medicare rate and your hospital's own published pricing data.
- Negotiate or let us handle it — 25% of savings, no savings = no fee.