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

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

What does a breast biopsy cost in New Mexico?

Where you have a breast biopsy done in New Mexico swings the bill from $774 to $1,534 for identical care. The median cash price across 24 reporting hospitals is $990. The numbers are pulled directly from federally mandated hospital price transparency files. The sections below break this down by coverage and by insurer.

Once you have a bill or an appointment on the calendar, CostKits can help you keep it all organized.

Where breast biopsy costs vary in New Mexico

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.
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Cheapest Breast Biopsy Providers in New Mexico

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

# Facility City Price vs median ($990)
1 Artesia General Hospital Artesia, NM $343 $647 below
2 Lovelace Health System, LLC Albuquerque, NM $625 $365 below
3 St. Vincent Regional Medical Center Santa Fe, NM $651 $339 below
4 Lovelace Health System, LLC Roswell, NM $683 $307 below
5 Albuquerque-AMG Specialty Hospital, LLC NM $700 $290 below
6 Roosevelt County Special Hospital District NM $766 $224 below
7 ABQ Hospital, LLC & Albuquerque ER LLC Nm 87109 & 9310 Coors Blvd. Nw Albuquerque, NM $777 $213 below
8 Presbyterian Healthcare Services Rio Rancho, NM $865 $125 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

  • Artesia General Hospital is the lowest-cost option at $343 - $647 below the median posted price ($990), just by choosing where you go.
  • Ask for the cash price if your deductible isn't met - the median cash price here is $990, 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 Mexico, October 2026
CoverageHospitals with a rateTypical rangeMedian
Medicare (national rate)—$1,687 to $1,687$1,687
With insurance (commercial, average)15$944 to $4,150$2,842
Without insurance (cash price)30$340 to $2,772$990
Blue Cross and Blue Shield of New Mexico7$460 to $4,554$1,022
UnitedHealthcare9$624 to $7,254$3,840
Cigna5$852 to $6,151$2,461
Aetna3$1,742 to $2,661$1,873

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 Mexico?

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 Mexico?

Across 15 New Mexico hospitals, the negotiated rates commercial insurers pay for breast biopsy average $944 to $4,150 per hospital, with a median near $2,842. 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 Mexico?

Cash (self-pay) prices for breast biopsy at 30 New Mexico hospitals range from $340 to $2,772, with a median of $990. 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 New Mexico?

Blue Cross and Blue Shield of New Mexico negotiated rates for breast biopsy at 7 New Mexico hospitals range from $460 to $4,554, with a median near $1,022. 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 New Mexico?

UnitedHealthcare negotiated rates for breast biopsy at 9 New Mexico hospitals range from $624 to $7,254, with a median near $3,840. 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 Mexico?

Cigna negotiated rates for breast biopsy at 5 New Mexico hospitals range from $852 to $6,151, with a median near $2,461. 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 New Mexico?

Aetna negotiated rates for breast biopsy at 3 New Mexico hospitals range from $1,742 to $2,661, with a median near $1,873. 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 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
$367–$5,209
  • Facility fee $268–$4,513
  • Professional fee $99–$696

Estimated from CMS fee schedules + commercial rate multipliers

Hospital Inpatient
$724–$1,682
  • Facility fee $625–$986
  • Professional fee $99–$696

Estimated from CMS fee schedules + commercial rate multipliers

Presbyterian Healthcare Services and Lovelace Health System cover most of the Albuquerque market, which is New Mexico's primary commercial hub. Significant portions of the state's population are served by Indian Health Service facilities and critical access hospitals with different pricing and billing structures than commercial hospitals. Prices in Albuquerque are generally moderate by Southwest standards.

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 $2,956, including Las Cruces Medical Center LLC at $4,513, 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 $994 versus $692 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 ~$990
Deductible met - 20% coinsurance ~$198
Out-of-network provider $2,178+

Frequently asked questions: breast biopsy costs in New Mexico

How much does a breast biopsy cost in New Mexico?

The typical insurer-negotiated rate is $865, with most facilities between $310 and $1,534 (based on 24 hospitals reporting negotiated rates). Posted cash prices at the middle 80% of New Mexico hospitals run $340–$2,772; 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 Mexico?

Based on declared prices, the lowest posted price in our New Mexico data is Artesia General Hospital in Artesia at about $343. By metro, Albuquerque has the lowest median ($865).

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

Typical prices vary about 4.9× (25th to 70th percentile of negotiated rates) because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In New Mexico, the median cash (self-pay) price is $990 versus a median negotiated rate of $2,842 - 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 Mexico?

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 Mexico

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 Mexico

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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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