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CPT 19125

Breast Biopsy

Current code40 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

Other government program: TRICARE, VA, Indian Health Service, workers' compensation, or another public program.

HospitalOther government program rates (lowest – highest)Cash priceList price (before discounts)
Island HospitalAnacortes$4,673 – $4,9193 plans$759 – $1,139$759 – $1,139
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$10,371$14,816
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01—$370 – $1,058Doctor’s fee: $687 – $1,058$569 – $1,627Doctor’s fee: $1,057 – $1,627
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
Three Rivers HospitalBrewster—Doctor’s fee: $916Doctor’s fee: $916
Trios HealthKennewick$3,9646 plans—$26,318
Virginia Mason Medical CenterSeattle—$5,642$11,062

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)
$718 in an office; $494 in a hospital or surgery center
Doctor's fee, rest of Washington
$644 in an office; $451 in a hospital or surgery center
Hospital outpatient payment (national)
$4,000 (APC 5091)
Surgery center payment (national)
$1,603

How hospitals also write this code

Some price files write it differently. These are counted as CPT 19125:

  • 19125P (with a letter after it, P; 2 price lines)
  • 19125T (with a letter after it, T; 1 price line)