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

Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.

Prices for CPT 19101 by hospital
HospitalMedicare Advantage rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$4,443 – $4,8886 plans$8,575$21,438
Coulee Medical CenterGrand Coulee—$694$771
Deaconess Medical CenterSpokaneFile dated 2026-08-27$4,276 – $4,7038 plans——
Harborview Medical CenterSeattleFile dated 2026-04-01$4,534 – $4,9875 plans$9,932 – $14,899$14,189 – $21,284
Highline Medical CenterBurienFile dated 2026-02-28$4,262 – $4,90111 plans$2,049$6,709
Island HospitalAnacortes$4,673 – $4,95311 plans$444 – $3,136$444 – $3,136
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$4,363 – $5,2367 plans——
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01$4,494 – $4,8876 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$4,478 – $4,9267 plans$8,575$21,438
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$4,456 – $4,9017 plans$8,575$21,438
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$4,456 – $4,9017 plans$8,575$21,438
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$4,478 – $4,9267 plans$8,575$21,438
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$4,404 – $4,7037 plans——
Olympic Medical CenterPort AngelesFile dated 2026-06-24$4,907 – $6,3085 plans——
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$4,547 – $4,7293 plans——
PeaceHealth Southwest Medical CenteVancouver$4,342 – $4,99313 plans$1,881$2,893
PeaceHealth St Joseph Medical CenterBellingham$4,650 – $5,1158 plans$6,923 – $8,249$10,650 – $12,690
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$4,363 – $5,2367 plans——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$4,534 – $7,2547 plans——
Providence Holy Family HospitalSpokaneFile dated 2026-04-01$4,363 – $4,7995 plans——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$4,459 – $4,9056 plans——
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01$4,363 – $4,7996 plans——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$4,503 – $7,2057 plans——
Skagit Valley HospitalMount Vernon$3,829 – $4,0214 plans$3,432$4,290
St Anthony HospitalGig HarborFile dated 2026-02-28$4,340 – $4,99112 plans$2,041$6,709
St Clare HospitalLakewoodFile dated 2026-02-28$4,340 – $4,99112 plans$1,934$6,709
St Elizabeth HospitalEnumclawFile dated 2026-02-28$1,208 – $1,47612 plans$2,371$6,709
St Francis Community HospitalFederal WayFile dated 2026-02-28$4,262 – $4,90112 plans$2,106$6,709
St Joseph Medical CenterTacomaFile dated 2026-02-28$4,309 – $4,99112 plans$2,222$6,709
St Michael Medical CenterSilverdaleFile dated 2026-02-28$4,463 – $4,82010 plans$2,961$6,709
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$4,459 – $5,3518 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$4,547 – $5,4568 plans$4,877 – $8,940$10,161 – $18,626
Swedish Medical CenterSeattleFile dated 2026-04-01$4,534 – $5,4418 plans$4,877 – $8,940$10,161 – $18,626
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$4,534 – $5,4418 plans$4,877 – $8,940$10,161 – $18,626
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$4,478 – $4,9267 plans$8,575$21,438
Three Rivers HospitalBrewster—Doctor’s fee: $685Doctor’s fee: $685
University of Washington Medical CtrSeattleFile dated 2026-04-01$4,534 – $4,9875 plans$2,807 – $4,210$4,010 – $6,014
Virginia Mason Medical CenterSeattle$55.94 – $4,38013 plans$4,101$8,042
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27———
WhidbeyHealth Medical CenterCoupeville—$794$794
Yakima Valley MemorialYakimaFile dated 2026-08-27$4,579 – $5,1298 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