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Reviewed by John Caruso, FSA, MAAA • Data last updated

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

What does a breast biopsy cost in New Jersey?

Where you have a breast biopsy done in New Jersey swings the bill from $396 to $1,800 for identical care. The median cash price across 56 reporting hospitals is $861. 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 New Jersey, from hospital price files

  • Virtua_West_Jersey_Health_System_Inc $287
  • Virtua_Our_Lady_of_Lourdes_Inc $287
  • Virtua_Memorial_Hospital_Inc | $287

All 56 facilities are listed below, free.

Where breast biopsy costs vary in New Jersey

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.

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  • ✓ 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.
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Cheapest Breast Biopsy Providers in New Jersey

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

# Facility City Price vs median ($861)
1 Virtua_West_Jersey_Health_System_Inc NJ $287 $574 below
2 Virtua_Our_Lady_of_Lourdes_Inc NJ $287 $574 below
3 Virtua_Memorial_Hospital_Inc | NJ $287 $574 below
4 Jersey City Medical Center Jersey City, NJ $331 $530 below
5 Hoboken University Hospital Hoboken, NJ $375 $486 below
6 Bayonne University Hospital Bayonne, NJ $375 $486 below
7 HMH HOSPITALS CORPORATION Edison, NJ $396 $465 below
8 Hackensack Meridian Health Brick, NJ $396 $465 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

  • Virtua_West_Jersey_Health_System_Inc is the lowest-cost option at $287 - $574 below the median posted price ($861), just by choosing where you go.
  • Ask for the cash price if your deductible isn't met - the median cash price here is $861, 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 New Jersey, October 2026
CoverageHospitals with a rateTypical rangeMedian
Medicare (national rate)—$1,687 to $1,687$1,687
With insurance (commercial, average)55$2,007 to $4,441$2,833
Without insurance (cash price)68$287 to $2,183$861
Horizon Blue Cross Blue Shield of New Jersey50$672 to $4,638$2,250
Aetna53$1,512 to $5,402$4,049
UnitedHealthcare46$1,328 to $5,679$3,090
Cigna45$1,821 to $4,190$2,438

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 New Jersey?

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 New Jersey?

Across 55 New Jersey hospitals, the negotiated rates commercial insurers pay for breast biopsy average $2,007 to $4,441 per hospital, with a median near $2,833. 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 New Jersey?

Cash (self-pay) prices for breast biopsy at 68 New Jersey hospitals range from $287 to $2,183, with a median of $861. 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 Horizon Blue Cross Blue Shield of New Jersey?

Horizon Blue Cross Blue Shield of New Jersey negotiated rates for breast biopsy at 50 New Jersey hospitals range from $672 to $4,638, with a median near $2,250. 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 Aetna in New Jersey?

Aetna negotiated rates for breast biopsy at 53 New Jersey hospitals range from $1,512 to $5,402, with a median near $4,049. 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 New Jersey?

UnitedHealthcare negotiated rates for breast biopsy at 46 New Jersey hospitals range from $1,328 to $5,679, with a median near $3,090. 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 Cigna in New Jersey?

Cigna negotiated rates for breast biopsy at 45 New Jersey hospitals range from $1,821 to $4,190, with a median near $2,438. 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
$139–$11,746
  • Facility fee $40–$11,050
  • Professional fee $99–$696

Estimated from CMS fee schedules + commercial rate multipliers

Hospital Inpatient
$554–$5,397
  • Facility fee $455–$4,701
  • Professional fee $99–$696

Estimated from CMS fee schedules + commercial rate multipliers

New Jersey has a dense hospital landscape with RWJBarnabas Health, Atlantic Health System, Hackensack Meridian Health, and others competing for commercial contracts - but high labor costs, real estate, and regulatory burden keep prices elevated despite the competition. Northern New Jersey facilities are influenced by New York City-adjacent wage indices, which are among the highest in the country.

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 (3) report prices above $4,136, including Cooper University Hospital Cape Regional at $6,151, 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 $861 versus $1,248 inpatient (about 1.4× 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 ~$861
Deductible met - 20% coinsurance ~$172
Out-of-network provider $1,894+

Frequently asked questions: breast biopsy costs in New Jersey

How much does a breast biopsy cost in New Jersey?

The typical insurer-negotiated rate is $87, with most facilities between $40 and $295 (based on 56 hospitals reporting negotiated rates). Posted cash prices at the middle 80% of New Jersey hospitals run $287–$2,183; 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 New Jersey?

Based on declared prices, the lowest posted price in our New Jersey data is Virtua_West_Jersey_Health_System_Inc at about $287. By metro, Edison has the lowest median ($396).

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

Typical prices vary about 7.4× (25th to 70th percentile of negotiated rates) because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In New Jersey, the median cash (self-pay) price is $861 versus a median negotiated rate of $2,833 - 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 New Jersey?

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 New Jersey

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 New Jersey

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Imaging and scans

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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