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Breast Biopsy Cost in Florida (2026): Average Prices & What You'll Pay

What does a breast biopsy cost in Florida?

The same breast biopsy in Florida might cost you $452 at one facility and $1,546 at another - the building you walk into drives the difference. The median cash price across 169 reporting hospitals is $672. These figures come straight from hospital price transparency files published under federal law. The sections below break this down by coverage and by insurer.

Three low-priced facilities in Florida, from hospital price files

  • OHI West, Inc. · Saint Petersburg, FL $343
  • Baptist Health Care (Pensacola FL) $357
  • Lakewood Ranch · Lakewood Ranch, FL $361

All 169 facilities are listed below, free.

Where breast biopsy costs vary in Florida

Pins show hospitals with price-transparency data (colored by vs. state average) and nearby outpatient clinics and other facilities (colored by type). Click any pin for facility name and estimated cost range.

Hospital (below avg) Hospital (above avg) Click a pin for details.

26+ people checked prices near them this month.

What you pay for a breast biopsy depends on where you go and what is billed separately. Most patients find out after.

Your personalized cost report includes:

  • ✓ Guidance method: Biopsies guided by ultrasound, by mammography (stereotactic) or by MRI are priced as different procedures.
  • ✓ Pathology is separate: The lab that examines the sample bills on its own.
  • ✓ Which bills usually arrive separately, and which providers to check are in-network
  • ✓ The questions to ask before you schedule, so the estimate covers everything
  • ✓ A real patient billing breakdown, line by line

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Cheapest Breast Biopsy Providers in Florida

Based on declared cash/self-pay prices from CMS hospital price transparency files.

# Facility City Price vs median ($672)
1 OHI West, Inc. Saint Petersburg, FL $343 $329 below
2 Baptist Health Care (Pensacola FL) FL $357 $315 below
3 Lakewood Ranch Lakewood Ranch, FL $361 $311 below
4 Adventhealth North Pinellas Tarpon Springs, FL $377 $295 below
5 Adventhealth Tampa Tampa, FL $401 $271 below
6 Adventhealth Carrollwood Tampa, FL $401 $271 below
7 HSA PGH LLC Hialeah, FL $407 $265 below
8 HCA FLORIDA CAPITAL HOSPITAL Tallahassee, FL $414 $258 below

Prices are declared self-pay rates. Contact each facility for a formal quote before scheduling.

Before you book: three questions that change the price

  1. Is this the self-pay price, and does it include the doctor, anesthesia and any lab or pathology? Those are often billed separately.
  2. Can you give me the price in writing, with the billing codes it covers?
  3. What happens to the price if something extra is needed during the procedure?

Estimate your out-of-pocket cost →  ·  When the bills arrive, we check them for errors →

Quick take

  • OHI West, Inc. is the lowest-cost option at $343 - $329 below the median posted price ($672), just by choosing where you go.
  • Ask for the cash price if your deductible isn't met - the median cash price here is $721, and it's often lower than what insurance pays before your deductible is satisfied.
  • Doctor offices and independent clinics may charge differently from hospitals for the same service and may not appear in this hospital-only dataset. Ask your doctor whether another site is an option.
Breast biopsy prices by coverage in Florida, October 2026
CoverageHospitals with a rateTypical rangeMedian
Medicare (national rate)—$1,687 to $1,687$1,687
With insurance (commercial, average)122$1,175 to $5,146$3,537
Without insurance (cash price)171$361 to $1,767$721
Florida Blue71$2,751 to $7,858$3,662
Cigna82$1,505 to $14,488$6,802
Aetna41$117 to $4,179$1,031
UnitedHealthcare39$1,288 to $5,684$3,453

Rates are negotiated allowed amounts and cash prices from hospital price-transparency files (October 2026), shown at each hospital’s lowest-priced typical billing code for this procedure. Facility fees only. The typical range is the middle 80% of hospitals, not a quote for your visit.

How much does a breast biopsy cost with Medicare in Florida?

Medicare's national hospital outpatient payment for breast biopsy is about $1,687 to $1,687 (typically near $1,687). After the $257 Part B deductible, you generally pay 20% of the Medicare-approved amount, about $337 on a $1,687 payment, with no out-of-pocket cap unless you have supplemental coverage or a Medicare Advantage plan.

Doctor, anesthesia and pathology fees are billed separately. Medicare rates are national CMS amounts, adjusted slightly by local wage levels.

How much does a breast biopsy cost with insurance in Florida?

Across 122 Florida hospitals, the negotiated rates commercial insurers pay for breast biopsy average $1,175 to $5,146 per hospital, with a median near $3,537. That is the amount your plan and you pay the hospital together; you owe your deductible, then coinsurance, up to your out-of-pocket maximum.

Each hospital’s figure is the average of the commercial insurers it lists. Medicare, Medicare Advantage and Medicaid rates are excluded.

How much does a breast biopsy cost without insurance in Florida?

Cash (self-pay) prices for breast biopsy at 171 Florida hospitals range from $361 to $1,767, with a median of $721. Ask for the cash or self-pay price and for any financial-assistance discount before you book; both can be lower than the posted price.

Cash prices are the hospital’s published discounted rate for patients paying without insurance.

How much does a breast biopsy cost with Florida Blue?

Florida Blue negotiated rates for breast biopsy at 71 Florida hospitals range from $2,751 to $7,858, with a median near $3,662. Your own cost depends on your plan’s deductible and coinsurance, and on whether the hospital is in your network.

Includes Blue Cross and Blue Shield and Anthem plans listed by each hospital.

How much does a breast biopsy cost with Cigna in Florida?

Cigna negotiated rates for breast biopsy at 82 Florida hospitals range from $1,505 to $14,488, with a median near $6,802. If a hospital is out of network for your Cigna plan, you may owe more than the negotiated rate, so check the network first.

How much does a breast biopsy cost with Aetna in Florida?

Aetna negotiated rates for breast biopsy at 41 Florida hospitals range from $117 to $4,179, with a median near $1,031. If a hospital is out of network for your Aetna plan, you may owe more than the negotiated rate, so check the network first.

How much does a breast biopsy cost with UnitedHealthcare in Florida?

UnitedHealthcare negotiated rates for breast biopsy at 39 Florida hospitals range from $1,288 to $5,684, with a median near $3,453. If a hospital is out of network for your UnitedHealthcare plan, you may owe more than the negotiated rate, so check the network first.

How where you go changes what you pay for breast biopsy

The same breast biopsy bundles different services depending on the setting - facility fee, surgeon fee, and anesthesia each arrive as separate bills. Estimated ranges below reflect the typical full bundled cost, including all expected charges.

Hospital Outpatient
$156–$8,801
  • Facility fee $57–$8,105
  • Professional fee $99–$696

Estimated from CMS fee schedules + commercial rate multipliers

Hospital Inpatient
$351–$5,397
  • Facility fee $252–$4,701
  • Professional fee $99–$696

Estimated from CMS fee schedules + commercial rate multipliers

Florida has one of the most fragmented hospital markets in the country - HCA Healthcare (the nation's largest for-profit system, headquartered in Nashville), AdventHealth, BayCare, and dozens of independents compete aggressively in major metros. South Florida prices track higher than the rest of the state, driven by higher wage indices and a larger share of complex specialty care. Rural northern Florida has extensive critical access hospital coverage.

Received a bill? Check it for errors → Estimate YOUR cost before you go → Managing more than one bill? See the family tracker →

Why prices vary - and what it means for your coverage

A small number of hospitals (5) report prices above $3,417, including NEMOURS CHILDREN'S HOSPITAL at $5,263, which drives most of the overall spread - excluding them, most facilities cluster in a much tighter band. Setting matters too: the median outpatient price is $625 versus $1,546 inpatient (about 2.5× more), so where a procedure happens often matters more than which hospital you pick.

None of the prices above are what you'll necessarily owe: your deductible, out-of-pocket maximum, and each provider's network status all still apply.

Your situation Estimated out-of-pocket
Deductible not yet met ~$672
Deductible met - 20% coinsurance ~$134
Out-of-network provider $1,478+

Frequently asked questions: breast biopsy costs in Florida

How much does a breast biopsy cost in Florida?

The typical insurer-negotiated rate is $415, with most facilities between $129 and $851 (based on 169 hospitals reporting negotiated rates). Posted cash prices at the middle 80% of Florida hospitals run $361–$1,767; outlier facilities above and below that range are left out. What you pay depends on the facility, your insurance, and whether you have met your deductible.

Where is the cheapest place to get a breast biopsy in Florida?

Based on declared prices, the lowest posted price in our Florida data is OHI West, Inc. in Saint Petersburg at about $343. By metro, Jacksonville has the lowest median ($445).

Why is a breast biopsy so much cheaper at some Florida hospitals?

Typical prices vary about 6.6× (25th to 70th percentile of negotiated rates) because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In Florida, the median cash (self-pay) price is $721 versus a median negotiated rate of $3,537 - cash is the lower number at many hospitals. Asking for the cash price as well as your insurer's negotiated rate is often the single biggest lever on what you pay.

How much will I actually pay out of pocket for a breast biopsy in Florida?

Your out-of-pocket cost depends on your deductible, coinsurance, out-of-pocket maximum, and whether the facility is in-network - not just the sticker price. If you have not met your deductible, you will typically pay the negotiated rate in full until you do. Use the CostKits cost forecaster to estimate your specific out-of-pocket amount before you go.

Before you book

Other procedures in Florida

Breast Biopsy, elsewhere

CostKits compiles hospital price transparency data to help families make informed decisions. Track and manage your healthcare costs (free account).

Other Procedure Costs in Florida

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Heart and cardiac tests

Sleep and breathing tests

Scopes and screening

Bone, joint and pain

Lab tests

Ear, nose and throat

Urology and women's health

Eye care

Infusions

Emergency care

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About the Author

John Caruso, FSA, MAAA

Healthcare actuary with 20+ years of experience in insurance pricing, medical billing systems, and healthcare cost analytics.

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Published October 29, 2026 · Updated October 29, 2026

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