Price Checker / CPT 19101
How much does Biopsy Of Breast Open cost?
CPT 19101 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is around 62x the fair price — among the most extreme markups. Dispute this.
Fair price
$530–$1,050
What this should cost
With insurance
~$3,150
Typical out-of-pocket
Overcharged if over
$1,300
Push back above this
The average hospital charge of $48,676 is $47,886 over the fair price (about 62x the fair rate).
What hospitals charge for Biopsy Of Breast Open
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| INTEGRIS Health Baptist Medical Center Oklahoma City, OK | — | — | 22683% |
| INTEGRIS Health Baptist Medical Center Portland Ave Oklahoma City, OK | — | — | 22683% |
| INTEGRIS Health Canadian Valley Hospital Yukon, OK | — | — | 22683% |
| INTEGRIS Health Cancer Institute Hospital Oklahoma City, OK | — | — | 22683% |
| INTEGRIS Health Edmond Hospital Edmond, OK | — | — | 22683% |
| INTEGRIS Health Enid Hospital Enid, OK | — | — | 22683% |
| INTEGRIS Health Grove Hospital Grove, OK | — | — | 22683% |
| INTEGRIS Health Health Woodward Hospital Woodward, OK | — | — | 22683% |
| INTEGRIS Health Jim Thorpe Rehabilitation Oklahoma City, OK | — | — | 22683% |
| INTEGRIS Health Lakeside Women's Hospital Oklahoma City, OK | — | — | 22683% |
| INTEGRIS Health Miami Hospital Miami, OK | — | — | 22683% |
| INTEGRIS Health Ponca City Hospital Ponca City, OK | — | — | 22683% |
| INTEGRIS Health Southwest Medical Center Oklahoma City, OK | — | — | 22683% |
| Stony Brook University Hospital , NY | $10,351 | — | 21601% |
| Inova Alexandria Hospital ALEXANDRIA, VA | $32,758 | $16,379 | 9249% |
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 Biopsy Of Breast Open
CPT code 19101 refers to biopsy of breast open (billing description: "Biopsy of breast open"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $216 in a facility (hospital or surgery center) and $350 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.