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Package

Percutaneous Breast Biopsy

Package

Percutaneous Breast Biopsy

If your doctor notices something unusual on your mammogram or detects a lump in your breast, they may recommend a percutaneous breast biopsy. Although it may sound complicated, this straightforward procedure involves taking a small sample of breast tissue to check for signs of cancer or other breast issues. "Percutaneous" simply means that the tissue is collected through the skin, without the need for a large incision or surgery.


Depending on the area being examined, your doctor might use different tools to guide the procedure. These may include an ultrasound (which uses sound waves to create images), a mammogram (a specialized breast x-ray), or an MRI (which uses magnets and radio waves) to precisely locate the area for sampling. There are a few methods for obtaining the sample: one uses a very fine needle to extract cells (fine-needle aspiration), another involves a slightly larger needle to remove a small piece of tissue (core needle biopsy), and a third is a vacuum-assisted biopsy, where a specialized device collects multiple samples through a single small incision.


This procedure is essential because it helps your doctor determine if there is cause for concern. It is performed with care to ensure your comfort and typically takes only a short time. Afterward, the sample is sent to a lab, where experts examine it under a microscope to identify any cancer cells or other abnormalities. This information is critical for deciding the next steps, whether that involves further tests, treatment, or routine monitoring. Remember, early detection and treatment of potential problems can make a significant difference in your health outcomes.

Mount Sinai Morningside

1111 Amsterdam Avenue, New York, NY 10025
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Nearest station
116 St-Columbia University
4 minute walk
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Up to
$4,581 / Case Rate

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

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

Mount Sinai Morningside
$4,581

Without insurance

What goes into a price?

Prices across providers

This provider
$4,581
Lowest
$1,803
Highest
$8,490

Self pay or cash prices vary by provider when paying out of pocket without insurance benefits. The chart shows you how the lowest and highest amounts providers 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 19083 Base Code Percutaneous Breast Biopsy
HCPCS 19083 Professional Fee Percutaneous Breast Biopsy
HCPCS 88305 Facility Fee Microscopic/gross-exam of surgical pathology biopsies/exam/resections
HCPCS 77065 Professional Fee Diagnostic mammography with CAD, unilateral workup
HCPCS A4648 Facility Fee Implantable Tissue Marker, Any Type, Each
HCPCS 77065 Facility Fee Diagnostic mammography with CAD, unilateral workup
RC 0278 Facility Fee Medical/Surgical Supplies and Devices (Also see 062X, an extension of 027X) - Other implants
RC 0401 Facility Fee Other Imaging Services - Diagnostic mammography
RC 0272 Facility Fee Medical/Surgical Supplies and Devices (Also see 062X, an extension of 027X) - Sterile
RC 0361 Facility Fee Operating Room Services - Minor surgery
RC 0310 Optional Fee Laboratory Pathology - General
RC 0312 Optional Fee Laboratory Pathology - Histology
RC 0250 Optional Fee Pharmacy (Also see 063X, an extension of 250X) - General

Disclaimer

The NYC Health Department is committed to empowering New York City residents and employees to make informed health care decisions. This tool offers personalized estimates for common health services, providing a clearer picture of potential costs before your visit.

Your final out-of-pocket cost may vary based on your insurance coverage, any discounts, and the specific care you receive. Contact the provider directly to verify your estimate.

Up to
$4,581 / Case Rate

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

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

Mount Sinai Morningside

Disclaimer

The NYC Health Department is committed to empowering New York City residents and employees to make informed health care decisions. This tool offers personalized estimates for common health services, providing a clearer picture of potential costs before your visit.

Your final out-of-pocket cost may vary based on your insurance coverage, any discounts, and the specific care you receive. Contact the provider directly to verify your estimate.

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)

Turquoise Health has developed SSPs which combine multiple medical services, materials, and fees associated with a health care visit or procedure into a single bundle to offer a more comprehensive estimate. SSPs are designed based on how health care procedures are commonly billed on claims. When discussing estimates with healthcare providers, you can refer to the individual codes listed in the 'Procedures included in this package' section of the tool.

Contact provider 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 19083, HCPCS 88305, HCPCS 77065, HCPCS A4648, Revenue Code 0278
Insurance I'm not using insurance
Provider Mount Sinai Morningside
When you contact them, you can say:
"Hi, I'm calling to verify a price for Percutaneous Breast Biopsy I found through NYC Health Department's price estimate tool. Here are the codes I’m looking at: HCPCS 19083, HCPCS 88305, HCPCS 77065, HCPCS A4648, Revenue Code 0278. I'm not using insurance, can you confirm the cash pay estimate and help me schedule if needed?"