Topic: Biopsy Cost?

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Posted on: Jul 19, 2010 04:37PM

Posted on: Jul 19, 2010 04:37PM

crabbiepattie wrote:

Because of my fibrocystic breast disorder rider, my health insurance will not pay for my needle biopsy. Until this week, I was so worried about dying that I wasn't worried about whether my insurance will cover my cancer treatment.  But, one thing at a time - the biopsy cost:

I had 3 areas biopsied, so it's billed like 3 biopsies. They gave me the insurance discounted rate but my original quote included only the doctor's part and not the surgical center part, so I'm finding the total cost a surprise.  The cost is about $6300 not including pathology, or about $2100 per biopsy. Does this sound about the going rate?

Thanks much,

Crabbie Pat

Dx 6/8/2010, IDC, 5cm, Stage IIIA, Grade 3, 1/11 nodes, ER-/PR-, HER2-
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Jul 22, 2010 12:52PM - edited Jul 23, 2010 08:13AM by Houndmommy

My US guided biopsy of two spots on my breast was $6500 and that didn't include pathology or the doctor (just surgical center).  I was floored at the cost!  ETA:  That was the amount billed to my insurance.  The contractual amount they approve was well over $5000.


Unimx 5/17/10 - IDC, ILC, DCIS, LCIS found. Oncotype DX 14. All tumors are ER/PR+ and HER2-. Dx 4/26/2010, IDC, 1cm, Stage I, Grade 2, 0/2 nodes, ER+/PR+, HER2-
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Jul 22, 2010 12:53PM barbaraa wrote:

My insurance only pays 80% so I had to pay around 600.00

Sometimes you're the bug and sometimes you're the windshield. Dx 4/30/2010, IDC, 1cm, Stage IB, Grade 2, 1/4 nodes, ER+/PR-, HER2- Hormonal Therapy 11/24/2014 Femara (letrozole) Dx 11/25/2014, IDC, Stage IV, metastasized to bone, ER+
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Jul 23, 2010 01:44PM - edited Aug 2, 2010 05:45AM by lovemygarden

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Aug 8, 2010 05:40PM crabbiepattie wrote:

Thanks, everyone - sounds like my charges are in the ballpark.

Dx 6/8/2010, IDC, 5cm, Stage IIIA, Grade 3, 1/11 nodes, ER-/PR-, HER2-
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Feb 9, 2012 12:03PM - edited Feb 9, 2012 12:14PM by jenlee

I'm just reviewing/paying medical bills at this very moment.  The cost for my ultrasound guided core biopsy was $6977 (the radiologist and pathologist billed separately). My balance isn't huge, so that's not the issue.  My issue is that I can't believe it costs that much --  the insurance company paid it, Ultimately, that's part of the reason health insurance is so expensive and the consumer pays in the end :(

On the positive side, they did my mammogram, and were concerned, moved immediately to the diagnostic ultrasound and were concerned, then immediately to the core biopsy, all the the same day. And pathology turned around the preliminary results within 24 hours.  The radiologist called me the following evening with the results.  He also gave me his cell phone number and called me over the weekend to see if I was OK.  (I think they were afraid I was going to jump off a rbidge or something drastic.)  They were amazing!  So maybe I shouldn't whine about the prices?

Here are the itemized charges:

  • $1075 - Laboratory/Pathological (there was a separate bill from the pathologist, but I get that they had to make & process the slides)
  • $1909 - Medical Surgical Supplies (WTF?  $2000 for the use of the gown, ultrasound gel, core "needle," several alcohol swabs and a large bandaid?)
  • $1198 - Operating Room Services (another WTF - this was done in the regular ultrasound room by the radiologist (who bills separately & an ultrasound tech)
  • $2194 - Other imaging services (I think this included the mammogram that I had earlier that day, plus diagnostic ultrasound)
Jenifer, completed TAC x 8 on 4/24/2012. Lumpectomy on 5/23/2012. BMX & immediate DIEH stage 1 on 6/5/2012 NOLA; stage 2 surgery 10/4/12 NOLA. Tamoxifen since 6/2012. Switched to Arimidex 9/2013. Dx 10/20/2011, IDC, 4cm, Stage IIA, Grade 2, 0/1 nodes, ER+/PR+, HER2-
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Feb 9, 2012 10:40PM crabbiepattie wrote:

Hi Jenlee,

You got much better itemized charges than I did!  My original bill was higher than what I quoted; the facility agreed to adjust the price to the same as the negotiated insurance price.  My biopsies were ultrasound-imaged too; MRI biopsies must be really pricey!

I had appointments a week apart for mammogram, ultrasound, biopsy; the same day would have been much better.  Having been through it, I'd be willing to pay something for same-day service.  Maybe not a couple thousand dollars, though.

Oh my, I guess your radiologist was worried if he called you over the weekend.  That would have made me more worried.  I got my results the next day and my gynocologist called within a day or two and was very sympathetic.  I don't know why they don't prescribe Ativan immediately.

Go ahead and whine about the prices.  I'm kind of boggled about my chemo and radiation costs; my insurance company paid for that.

Wishing you the best treatment results and a long, long life.


Dx 6/8/2010, IDC, 5cm, Stage IIIA, Grade 3, 1/11 nodes, ER-/PR-, HER2-
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Nov 29, 2016 09:59AM - edited Nov 29, 2016 10:05AM by JessicaLS

I was scheduled for an ultrasound guided biopsy at a breast center. The cost was going to be $1900. I learned that I could save $700-$900 if I had it done at an imaging center instead. I've canceled my biopsy at the breast center and am awaiting my appointment at Simon Med. I will post again if the price is higher, but be sure to check your options before getting your biopsy done. Every location has a different contracted rate with each insurance they accept and they also have a different cash price if you do not go through insurance.

Biopsies do not have to be done at a hospital breast center. Some physicians can do them in the office and many outpatient imaging medical centers can do them as well.

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