Price Checker / CPT 49180
CPT 49180 — Biopsy abdominal mass
2026 Medicare Physician Fee Schedule rates and hospital pricing data
$71
What Medicare pays in a hospital/ASC setting
$170
What Medicare pays in a physician's office
$8,216
Based on 52 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 49180
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| Lenox Hill Hospital , NY | — | $4,595 | 20532% |
| Newton Medical Center , NJ | $20,288 | $1,725 | 11810% |
| "Cohen Children's Medical Center" , NY | — | $4,595 | 11492% |
| Long Island Jewish Medical Center , NY | — | $4,595 | 11492% |
| North Shore University Hospital , NY | — | $4,595 | 11492% |
| Zucker Hillside Hospital , NY | — | $4,595 | 11492% |
| McLaren Flint , MI | $19,504 | $9,752 | 11350% |
| Hackettstown Medical Center , NJ | $17,035 | $2,132 | 9901% |
| Oroville Hospital , CA | $14,419 | $7,210 | 8365% |
| Garden Grove Hospital Medical Center , CA | $12,551 | $2,633 | 7268% |
| Huntington Beach Hospital , CA | $12,551 | $2,633 | 7268% |
| La Palma Intercommunity Hospital , CA | $12,551 | $2,633 | 7268% |
| West Anaheim Medical Center , CA | $12,551 | $2,633 | 7268% |
| Logan Regional Medical Center Logan, WV | $9,099 | — | 5242% |
| Logan Regional Medical Center , WV | $9,099 | $3,640 | 5242% |
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About CPT 49180
CPT code 49180 refers to “Biopsy abdominal mass”. Under the 2026 Medicare Physician Fee Schedule, this procedure is reimbursed at $71 in a facility (hospital or ambulatory surgery center) and $170in 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.