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Package

Percutaneous breast biopsy

Package

Percutaneous breast biopsy

Percutaneous breast biopsy is a minimally invasive procedure that uses a thin needle inserted through the skin to collect a small tissue sample from the breast for laboratory analysis. It is typically performed to evaluate an abnormal finding on a mammogram, ultrasound, or physical exam, and imaging guidance is used to accurately reach the area of concern. The procedure is done under local anesthesia without a large incision or general anesthesia. Results are usually available within a few days and help determine whether further treatment is needed.
You'd pay up to
$4,621 / Case Rate

A single, all-inclusive pricing methodology for a procedure in healthcare contracts, instead of separate charges for each service.

The estimated total cost of care without any insurance coverage or discounts.

$4,621

Without insurance

What goes into a price?

Negotiated prices across insurers

Lowest
$2,227
Highest
$7,287
Cash price
up to $4,621

Self pay or cash prices vary by facility when paying out of pocket without insurance benefits. The chart shows you how the lowest and highest amounts facilities charge for this service if you were paying without insurance benefits. If you're uninsured or not submitting a claim to insurance, you also have the right to a Good Faith Estimate under federal law. Contact the provider for a copy of your Good Faith Estimate or to better understand payment options available to you.

Procedures included in this package

This list includes the services and fees bundled into the Percutaneous breast biopsy Standard Service Package (SSP DE000). The final price for the procedure will depend on which services your provider ultimately performs, your insurance plan and your medical benefits.

Code Code Type Description
HCPCS 19085 Facility Fee Percutaneous Breast Biopsy with Localization Device, Mr Imaging
HCPCS A9575 Facility Fee Intramuscular injection of gadoterate meglumine, 0.1ml
HCPCS A4648 Facility Fee Implantable Tissue Marker, Any Type, Each
HCPCS 19085 Professional Fee Percutaneous Breast Biopsy with Localization Device, Mr Imaging

Disclaimer

Southern Ohio Medical Center is committed to empowering our patients to make informed decisions about their healthcare. This includes helping patients understand the cost of care and the availability of financial assistance.

In compliance with federal law, we provide a list of standard charges that are reviewed on an annual basis. Charges for hospital services are not equivalent to the actual amount paid by insurance companies or patients. The amount paid for services is based on many factors, including health insurance benefit plans, applicable discounts, and services provided based on each patient's unique needs.

You'd pay up to
$4,621 / Case Rate

A single, all-inclusive pricing methodology for a procedure in healthcare contracts, instead of separate charges for each service.

The estimated total cost of care without any insurance coverage or discounts.

Disclaimer

Southern Ohio Medical Center is committed to empowering our patients to make informed decisions about their healthcare. This includes helping patients understand the cost of care and the availability of financial assistance.

In compliance with federal law, we provide a list of standard charges that are reviewed on an annual basis. Charges for hospital services are not equivalent to the actual amount paid by insurance companies or patients. The amount paid for services is based on many factors, including health insurance benefit plans, applicable discounts, and services provided based on each patient's unique needs.

What’s the difference between an individual procedure and a Standard Service Package (SSP)?

Individual Procedure

Individual procedures, like blood tests, each have unique prices and billing codes (like a CPT or HCPCS code). While they can be billed alone, they're usually grouped with other procedures on a claim. This grouping is what determines the total cost of your care.

Standard Service Package (SSP)

A SSP combines all medical services, materials, and fees associated with a healthcare visit or procedure into a single bundle to offer a more comprehensive estimate.

Contact us to verify your estimate

Have your service name, codes, and payment preference ready. If you’re using insurance, you may be asked for insurance details like your Member or Group ID.

Service Percutaneous breast biopsy
Service Codes HCPCS 19085, HCPCS A9575, HCPCS A4648
Insurance I'm not using insurance
Location Southern Ohio Medical Center
When you contact us, you can say:
"Hi, I'm calling to verify a price for Percutaneous breast biopsy I found through Southern Ohio Medical Center's price estimate tool. Here are the codes I’m looking at: HCPCS 19085, HCPCS A9575, HCPCS A4648. I'm not using insurance, can you confirm the cash pay estimate and help me schedule if needed?"
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