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Breast biopsy (needle) in Pennsylvania: what insurers pay

Posted commercial rates at 3 Pennsylvania hospitals, each next to its own Medicare base rate.

Open in the explorerAll statesEvery bill for the whole procedure

CPT 19083

HospitalMedian across insurers× MedicareInsurersFile date
Riddle Memorial Hospital Media$3,6982.2×22026-04-01
Bryn Mawr Hospital Bryn Mawr$3,9202.3×22026-04-01
Thomas Jefferson University Hospital Philadelphia$8,2824.9×32026-09-15

CPT 19081

HospitalMedian across insurers× MedicareInsurersFile date
Riddle Memorial Hospital Media$3,6982.2×22026-04-01
Bryn Mawr Hospital Bryn Mawr$3,9202.3×22026-04-01
Thomas Jefferson University Hospital Philadelphia$8,2824.9×32026-09-15

Questions

How much do insurers pay for breast biopsy (needle) in Pennsylvania?

3 Pennsylvania hospitals post usable commercial rates for breast biopsy (needle) in their federal price-transparency files. For CPT 19083, hospital outpatient, the median across 3 hospitals is $3,920, 2.3× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.