Price Checker / CPT 20205
How much does Deep Muscle Biopsy cost?
CPT 20205 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is about 3.1x the fair price. You have grounds to ask for a reduction.
Fair price
$510–$1,000
What this should cost
With insurance
~$2,750
Typical out-of-pocket
Overcharged if over
$1,250
Push back above this
The average hospital charge of $2,388 is $1,628 over the fair price (about 3.1x the fair rate).
What hospitals charge for Deep Muscle Biopsy
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| Elmore Community Hospital Wetumpka, AL | $2,388 | — | 663% |
| Lake Martin Community Hospital Dadeville, AL | $2,388 | — | 663% |
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 Deep Muscle Biopsy
CPT code 20205 refers to deep muscle biopsy (billing description: "Deep muscle biopsy"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $147 in a facility (hospital or surgery center) and $339 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.