CPT 19101

Breast Biopsy

Current code41 hospitals with prices

This name is the CMS category the code belongs to (CMS's Restructured BETOS Classification System), shared with similar codes. The official CPT description belongs to the American Medical Association and isn't shown.

What Washington hospitals publish for this code

Medicaid managed care: Rate for an Apple Health managed-care plan. Applies only to members of that plan.

Prices for CPT 19101 by hospital
HospitalMedicaid managed care rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27—$8,575$21,438
Coulee Medical CenterGrand Coulee—$694$771
Harborview Medical CenterSeattleFile dated 2026-04-01—$9,932 – $14,899$14,189 – $21,284
Highline Medical CenterBurienFile dated 2026-02-28—$2,049$6,709
Island HospitalAnacortes$986 – $1,0703 plans$444 – $3,136$444 – $3,136
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27—$8,575$21,438
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27—$8,575$21,438
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27—$8,575$21,438
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27—$8,575$21,438
St Anthony HospitalGig HarborFile dated 2026-02-28—$2,041$6,709
St Clare HospitalLakewoodFile dated 2026-02-28—$1,934$6,709
St Elizabeth HospitalEnumclawFile dated 2026-02-28$1,879 – $2,2255 plans$2,371$6,709
St Francis Community HospitalFederal WayFile dated 2026-02-28—$2,106$6,709
St Joseph Medical CenterTacomaFile dated 2026-02-28—$2,222$6,709
St Michael Medical CenterSilverdaleFile dated 2026-02-28—$2,961$6,709
Swedish IssaquahIssaquahFile dated 2026-04-01—$8,940$18,626
Swedish Medical CenterSeattleFile dated 2026-04-01—$8,940$18,626
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$8,940$18,626
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27—$8,575$21,438
Three Rivers HospitalBrewsterDoctor’s fee: $480Doctor’s fee: $685Doctor’s fee: $685
University of Washington Medical CtrSeattleFile dated 2026-04-01—$2,807 – $4,210$4,010 – $6,014
Virginia Mason Medical CenterSeattle—$4,101$8,042

Lowest and highest amounts each hospital lists for this code during a hospital stay, including lines it lists for both settings or without saying which. A doctor’s fee is shown separately when the hospital lists one with the code. “At least” means plans were counted in more than one group and some may be the same plan. This is one line of a bill; most care brings several.

Medicare (traditional) reference

Only for people on original Medicare. These are CMS’s 2026 amounts. They aren’t what private insurance or cash patients pay.

Doctor's fee, Seattle (King County)
$400 in an office; $236 in a hospital or surgery center
Doctor's fee, rest of Washington
$357 in an office; $216 in a hospital or surgery center
Hospital outpatient payment (national)
$4,000 (APC 5091)
Surgery center payment (national)
$1,603