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Breast biopsy (needle) in Pennsylvania: what insurers pay

Posted commercial rates at 67 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
Roxborough Memorial Hospital Philadelphia$1,0540.6×62024-06-21
Upmc Horizon Greenville$1,1100.7×22026-03-06
Upmc St Margaret Pittsburgh$1,4220.9×22026-03-06
Upmc Northwest Seneca$1,4520.9×22026-03-06
Upmc Bedford Memorial Everett$1,5200.9×22026-03-06
Wellspan Evangelical Community Hospital Lewisburg$1,5591.0×62026-01-01
Upmc Jameson New Castle$1,6771.0×42026-03-06
Conemaugh Memorial Medical Center Johnstown$1,7371.1×12026-04-15
Heritage Valley Sewickley Sewickley$1,7601.1×62026-03-27
Wayne Memorial Hospital Honesdale$1,7741.1×12026-09-16
Magee Womens Hospital Of Upmc Health System Pittsburgh$1,8121.1×22026-03-06
Upmc Kane Kane$1,9591.2×22026-03-06
Upmc Altoona Altoona$1,9701.2×12026-03-06
Lower Bucks Hospital Bristol$2,0001.2×62026-09-01
Jefferson Hospital Jefferson Hills$2,0771.3×72026-04-14
Forbes Hospital Monroeville$2,3381.4×72026-04-14
Upmc Cole Coudersport$2,4501.5×12026-03-06
Temple Health - Chestnut Hill Hospital Philadelphia$2,4661.4×72026-04-08
Holy Redeemer Hospital And Medical Center Meadowbrook$2,5251.6×42026-09-21
St Mary Medical Center Langhorne$2,6161.6×202026-03-31
Upmc Washington Washington$2,7611.7×42026-03-06
Nazareth Hospital Philadelphia$2,8561.7×202026-03-31
Saint Vincent Hospital Erie$2,8881.8×62026-04-14
Geisinger-Bloomsburg Hospital Bloomsburg$3,0141.9×22026-07-01
Uniontown Hospital Uniontown$3,0631.9×42026-07-09
Jefferson Lansdale Hospital Lansdale$3,0721.9×52026-09-15
Allegheny Valley Hospital Natrona$3,2902.0×62026-04-14
Canonsburg General Hospital Canonsburg$3,2982.0×62026-04-14
Grove City Hospital Grove City$3,3152.1×52026-04-14
Temple University Hospital Philadelphia$3,3282.0×92026-04-13
Ahn Wexford Hospital Wexford$3,5482.2×62026-04-14
St Clair Hospital Pittsburgh$3,6912.3×72026-03-31
Riddle Memorial Hospital Media$3,6982.2×22026-04-01
Jefferson Abington Hospital Abington$3,7212.3×52026-09-15
Hospital Of The Fox Chase Cancer Center Philadelphia$3,7902.2×62026-04-08
Paoli Hospital Paoli$3,8702.4×22026-04-01
Jefferson Einstein Montgomery Hospital East Norriton$3,9042.4×62026-09-15
Bryn Mawr Hospital Bryn Mawr$3,9202.3×22026-04-01
Jefferson Health-Northeast Philadelphia$3,9662.3×62026-09-15
Lankenau Medical Center Wynnewood$3,9672.5×22026-04-01
Allegheny General Hospital Pittsburgh$4,0782.5×62026-04-14
West Penn Hospital Pittsburgh$4,0972.5×62026-04-14
Upmc Memorial York$4,1732.6×52026-03-06
Wilkes-Barre General Hospital Wilkes-Barre$4,3812.7×12026-07-01
St Luke'S Hospital - Upper Bucks Campus Quakertown$4,6542.9×22026-02-26
Wellspan York Hospital York$4,7042.9×22026-01-01
Geisinger St. Luke'S Hospital Orwigsburg$4,7553.0×22026-02-26
St Luke'S Miners Memorial Hospital Coaldale$4,7823.0×22026-02-27
Geisinger Community Medical Center Scranton$4,8093.0×32026-07-01
Wellspan Good Samaritan Hospital Lebanon$4,8412.9×12026-01-01
St Luke'S Hospital Bethlehem Bethlehem$4,8432.9×32026-02-26
St Luke'S Hospital - Monroe Campus Stroudsburg$4,8433.0×32026-02-27
St Luke'S Hospital - Carbon Campus Lehighton$4,8432.9×32026-02-27
Upmc Hanover Hanover$5,5063.4×32026-03-06
Penn State Health Hampden Medical Center Enola$5,5193.3×12026-03-27
Penn State Health Holy Spirit Medical Center Camp Hill$5,5803.4×12026-03-27
Penn State Health Lancaster Medical Center Lancaster$5,6663.5×12026-03-27
Wellspan Chambersburg Hospital Chambersburg$5,6963.4×32026-01-01
Troy Community Hospital Troy$5,8143.6×32026-03-31
Wellspan Waynesboro Hospital Waynesboro$5,8503.5×22026-01-01
St Luke'S Hospital - Easton Campus Easton$6,0903.6×22026-02-26
Geisinger-Lewistown Hospital Lewistown$6,1853.8×22026-07-01
Robert Packer Hospital Sayre$6,3163.9×102026-03-31
Penn State Health St. Joseph Reading$7,3044.3×12026-03-27
Wellspan Ephrata Community Hospital Ephrata$7,3554.6×32026-01-01
Thomas Jefferson University Hospital Philadelphia$8,8585.2×42026-09-15

CPT 19081

HospitalMedian across insurers× MedicareInsurersFile date
Upmc East Monroeville$1,4170.9×22026-03-06
Upmc Northwest Seneca$1,4530.9×22026-03-06
Conemaugh Memorial Medical Center Johnstown$1,7241.1×12026-04-15
Heritage Valley Sewickley Sewickley$1,7601.1×62026-03-27
Wayne Memorial Hospital Honesdale$1,7741.1×12026-09-16
Magee Womens Hospital Of Upmc Health System Pittsburgh$1,8161.1×22026-03-06
Upmc Kane Kane$1,9541.2×22026-03-06
Upmc Altoona Altoona$1,9621.2×12026-03-06
Jefferson Hospital Jefferson Hills$2,0771.3×72026-04-14
Forbes Hospital Monroeville$2,3381.4×72026-04-14
Upmc Cole Coudersport$2,4521.5×12026-03-06
Temple Health - Chestnut Hill Hospital Philadelphia$2,4661.4×72026-04-08
Holy Redeemer Hospital And Medical Center Meadowbrook$2,4841.5×32026-09-21
St Mary Medical Center Langhorne$2,6161.6×202026-03-31
Roxborough Memorial Hospital Philadelphia$2,7211.6×62024-06-21
Upmc Washington Washington$2,7611.7×42026-03-06
Nazareth Hospital Philadelphia$2,8561.7×202026-03-31
Saint Vincent Hospital Erie$2,8881.8×62026-04-14
Uniontown Hospital Uniontown$3,0631.9×42026-07-09
Jefferson Lansdale Hospital Lansdale$3,0721.9×52026-09-15
Lower Bucks Hospital Bristol$3,2262.0×62026-09-01
Allegheny Valley Hospital Natrona$3,2902.0×62026-04-14
Canonsburg General Hospital Canonsburg$3,2982.0×62026-04-14
Grove City Hospital Grove City$3,3152.1×52026-04-14
Temple University Hospital Philadelphia$3,3282.0×92026-04-13
Ahn Wexford Hospital Wexford$3,5482.2×62026-04-14
St Clair Hospital Pittsburgh$3,6912.3×72026-03-31
Riddle Memorial Hospital Media$3,6982.2×22026-04-01
Jefferson Abington Hospital Abington$3,7212.3×52026-09-15
Hospital Of The Fox Chase Cancer Center Philadelphia$3,7902.2×62026-04-08
Paoli Hospital Paoli$3,8702.4×22026-04-01
Jefferson Einstein Montgomery Hospital East Norriton$3,9042.4×62026-09-15
Bryn Mawr Hospital Bryn Mawr$3,9202.3×22026-04-01
Jefferson Health-Northeast Philadelphia$3,9662.3×62026-09-15
Lankenau Medical Center Wynnewood$3,9672.5×22026-04-01
Allegheny General Hospital Pittsburgh$4,0782.5×62026-04-14
West Penn Hospital Pittsburgh$4,0972.5×62026-04-14
Wilkes-Barre General Hospital Wilkes-Barre$4,3812.7×12026-07-01
St Luke'S Hospital - Upper Bucks Campus Quakertown$4,6542.9×22026-02-26
Wellspan York Hospital York$4,7042.9×22026-01-01
Geisinger St. Luke'S Hospital Orwigsburg$4,7553.0×22026-02-26
St Luke'S Miners Memorial Hospital Coaldale$4,7823.0×22026-02-27
Geisinger Community Medical Center Scranton$4,8093.0×32026-07-01
Wellspan Good Samaritan Hospital Lebanon$4,8412.9×12026-01-01
St Luke'S Hospital Bethlehem Bethlehem$4,8432.9×32026-02-26
St Luke'S Hospital - Monroe Campus Stroudsburg$4,8433.0×32026-02-27
St Luke'S Hospital - Carbon Campus Lehighton$4,8432.9×32026-02-27
Upmc Hanover Hanover$5,5063.4×32026-03-06
Penn State Health Hampden Medical Center Enola$5,5193.3×12026-03-27
Penn State Health Holy Spirit Medical Center Camp Hill$5,5803.4×12026-03-27
Penn State Health Lancaster Medical Center Lancaster$5,6663.5×12026-03-27
Wellspan Chambersburg Hospital Chambersburg$5,6963.4×32026-01-01
Wellspan Waynesboro Hospital Waynesboro$5,8503.5×22026-01-01
St Luke'S Hospital - Easton Campus Easton$6,0903.6×22026-02-26
Geisinger-Lewistown Hospital Lewistown$6,1853.8×22026-07-01
Robert Packer Hospital Sayre$6,3163.9×102026-03-31
Penn State Health St. Joseph Reading$7,3044.3×12026-03-27
Wellspan Ephrata Community Hospital Ephrata$7,3554.6×32026-01-01
Troy Community Hospital Troy$8,0775.0×22026-03-31
Thomas Jefferson University Hospital Philadelphia$8,8585.2×42026-09-15

Questions

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

67 Pennsylvania hospitals post usable commercial rates for breast biopsy (needle) in their federal price-transparency files. For CPT 19083, hospital outpatient, the median across 66 hospitals is $3,710, 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.