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

What does a breast biopsy cost in Illinois?

Where you have a breast biopsy done in Illinois swings the bill from $473 to $1,764 for identical care. The median cash price across 132 reporting hospitals is $848. The numbers are pulled directly from federally mandated hospital price transparency files. The sections below break this down by coverage and by insurer.

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

  • Hopedale Medical Complex · Hopedale, IL $333
  • Touchette Regional Hospital $335
  • Horizon Health · Paris, IL $344

All 132 facilities are listed below, free.

Where breast biopsy costs vary in Illinois

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
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Cheapest Breast Biopsy Providers in Illinois

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

# Facility City Price vs median ($848)
1 Hopedale Medical Complex Hopedale, IL $333 $515 below
2 Touchette Regional Hospital IL $335 $513 below
3 Horizon Health Paris, IL $344 $504 below
4 Midwestern Regional Medical Center, Inc. Zion, IL $345 $503 below
5 Carle BroMenn Medical Center Normal, IL $345 $503 below
6 Methodist Medical Center of Illinois Peoria, IL $349 $499 below
7 Proctor Community Hospital Peoria, IL $349 $499 below
8 Pekin Memorial Hospital Pekin, IL $349 $499 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

  • Hopedale Medical Complex is the lowest-cost option at $333 - $515 below the median posted price ($848), just by choosing where you go.
  • Ask for the cash price if your deductible isn't met - the median cash price here is $848, 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 Illinois, October 2026
CoverageHospitals with a rateTypical rangeMedian
Medicare (national rate)—$1,687 to $1,687$1,687
With insurance (commercial, average)94$880 to $3,956$2,257
Without insurance (cash price)133$326 to $2,288$848
Blue Cross and Blue Shield of Illinois73$362 to $3,135$1,782
UnitedHealthcare81$451 to $4,157$2,058
Aetna76$806 to $3,852$1,923
Cigna60$557 to $3,825$2,044

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 Illinois?

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 Illinois?

Across 94 Illinois hospitals, the negotiated rates commercial insurers pay for breast biopsy average $880 to $3,956 per hospital, with a median near $2,257. 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 Illinois?

Cash (self-pay) prices for breast biopsy at 133 Illinois hospitals range from $326 to $2,288, with a median of $848. 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 Blue Cross and Blue Shield of Illinois?

Blue Cross and Blue Shield of Illinois negotiated rates for breast biopsy at 73 Illinois hospitals range from $362 to $3,135, with a median near $1,782. 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 UnitedHealthcare in Illinois?

UnitedHealthcare negotiated rates for breast biopsy at 81 Illinois hospitals range from $451 to $4,157, with a median near $2,058. 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 much does a breast biopsy cost with Aetna in Illinois?

Aetna negotiated rates for breast biopsy at 76 Illinois hospitals range from $806 to $3,852, with a median near $1,923. 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 Cigna in Illinois?

Cigna negotiated rates for breast biopsy at 60 Illinois hospitals range from $557 to $3,825, with a median near $2,044. 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 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
$369–$6,690
  • Facility fee $270–$5,994
  • Professional fee $99–$696

Estimated from CMS fee schedules + commercial rate multipliers

Hospital Inpatient
$369–$4,662
  • Facility fee $270–$3,966
  • Professional fee $99–$696

Estimated from CMS fee schedules + commercial rate multipliers

Illinois presents two distinct markets: Chicago (highly competitive, high commercial rates, major academic medical centers) and downstate (lower density, smaller regional systems, lower rates). Northwestern Medicine, Advocate Aurora Health, and Rush University Medical Center compete aggressively in the Chicago market. Downstate Illinois prices typically run 20–35% below Chicago-area rates for identical services.

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Why prices vary - and what it means for your coverage

A small number of hospitals (6) report prices above $3,778, including Northwestern Medicine Valley West Hospital at $5,994, 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 $970 versus $780 inpatient, so where a procedure happens often matters more than which hospital you pick.

What you pay out of pocket on top of this depends on your deductible, your plan's out-of-pocket maximum, and whether every provider involved is in-network - not just the facility.

Your situation Estimated out-of-pocket
Deductible not yet met ~$848
Deductible met - 20% coinsurance ~$170
Out-of-network provider $1,866+

Frequently asked questions: breast biopsy costs in Illinois

How much does a breast biopsy cost in Illinois?

The typical insurer-negotiated rate is $400, with most facilities between $140 and $656 (based on 124 hospitals reporting negotiated rates). Posted cash prices at the middle 80% of Illinois hospitals run $326–$2,288; 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 Illinois?

Based on declared prices, the lowest posted price in our Illinois data is Hopedale Medical Complex in Hopedale at about $333. By metro, Peoria has the lowest median ($349).

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

Typical prices vary about 4.7× (25th to 70th percentile of negotiated rates) because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In Illinois, the median cash (self-pay) price is $848 versus a median negotiated rate of $2,257 - 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 Illinois?

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 Illinois

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 Illinois

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Imaging and scans

Heart and cardiac tests

Sleep and breathing tests

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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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