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$1,045 – $1,5485 plans$8,575$21,438
Coulee Medical CenterGrand Coulee—$694$771
Deaconess Medical CenterSpokaneFile dated 2026-08-27$956 – $1,0125 plans——
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
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01———
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01———
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$989 – $1,0685 plans$8,575$21,438
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$971 – $1,0485 plans$8,575$21,438
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$971 – $1,0485 plans$8,575$21,438
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$993 – $1,0735 plans$8,575$21,438
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$949 – $1,0055 plans——
Olympic Medical CenterPort AngelesFile dated 2026-06-24$1,222 – $1,3385 plans——
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01———
PeaceHealth Southwest Medical CenteVancouver$4,5151 plan$1,881$2,893
PeaceHealth St Joseph Medical CenterBellingham$4,8832 plans$6,923 – $8,249$10,650 – $12,690
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01———
Providence Centralia HospitalCentraliaFile dated 2026-04-01———
Providence Holy Family HospitalSpokaneFile dated 2026-04-01———
Providence Regional Medical Center EverettEverettFile dated 2026-04-01———
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01———
Providence St Peter HospitalOlympiaFile dated 2026-04-01———
Skagit Valley HospitalMount Vernon$2001 plan$3,432$4,290
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$1,141 – $1,3895 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 Edmonds HospitalEdmondsFile dated 2026-04-01———
Swedish IssaquahIssaquahFile dated 2026-04-01—$4,877 – $8,940$10,161 – $18,626
Swedish Medical CenterSeattleFile dated 2026-04-01—$4,877 – $8,940$10,161 – $18,626
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$4,877 – $8,940$10,161 – $18,626
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$994 – $1,0735 plans$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
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27———
WhidbeyHealth Medical CenterCoupeville—$794$794
Yakima Valley MemorialYakimaFile dated 2026-08-27$949 – $1,1035 plans——

Lowest and highest amounts each hospital lists for this code as an outpatient, 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