Price Checker / CPT 49180
How much does Biopsy Abdominal Mass cost?
CPT 49180 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is around 28x the fair price — among the most extreme markups. Dispute this.
Fair price
$260–$510
What this should cost
With insurance
~$112,800
Typical out-of-pocket
Overcharged if over
$640
Push back above this
The average hospital charge of $10,834 is $10,444 over the fair price (about 28x the fair rate).
What hospitals charge for Biopsy Abdominal Mass
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 NEW YORK, NY | — | $4,595 | 20532% |
| "Cohen Children's Medical Center" , NY | — | $4,595 | 11492% |
| Long Island Jewish Medical Center NEW HYDE PARK, NY | — | $4,595 | 11492% |
| North Shore University Hospital MANHASSET, NY | — | $4,595 | 11492% |
| Zucker Hillside Hospital , NY | — | $4,595 | 11492% |
| McLaren Flint FLINT, MI | $19,504 | $9,752 | 11350% |
| Logan Regional Medical Center Logan, WV | $9,099 | — | 5242% |
| Carlinville Area Hospital Carlinville, IL | $7,135 | — | 4089% |
| Highland District Hospital HILLSBORO, OH | $6,120 | $4,896 | 3493% |
| University Hospitals Samaritan Medical Center ASHLAND, OH | $5,831 | $4,373 | 3323% |
| Soldiers & Sailors Memorial Hospital , NY | $4,311 | $1,724 | 2431% |
| Iroquois Memorial Hospital WATSEKA, IL | $4,170 | $2,919 | 2348% |
| UMass Memorial Health-Harrington at Webster , MA | $2,952 | $2,952 | 1633% |
| UMass Memorial Health-Harrington Hospital SOUTHBRIDGE, MA | $2,952 | $2,952 | 1633% |
| Knox County Clinc Knox City, TX | $2,800 | — | 1297% |
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 Abdominal Mass
CPT code 49180 refers to biopsy abdominal mass (billing description: "Biopsy abdominal mass"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $71 in a facility (hospital or surgery center) and $170 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.