Breast Biopsy Cost in Ohio (2026): Average Prices & What You'll Pay
What does a breast biopsy cost in Ohio?
The same breast biopsy in Ohio might cost you $554 at one facility and $1,637 at another - the building you walk into drives the difference. The median cash price across 143 reporting hospitals is $1,554. 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 Ohio, from hospital price files
- Wyandot Memorial Hospital · Upper Sandusky, OH $389
- Holzer Medical Center Jackson · Jackson, OH $410
- Blanchard Valley Regional Health Center · Bluffton, OH $438
All 143 facilities are listed below, free.
Where breast biopsy costs vary in Ohio
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.
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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Cheapest Breast Biopsy Providers in Ohio
Based on declared cash/self-pay prices from CMS hospital price transparency files.
| # | Facility | City | Price | vs median ($1,554) |
|---|---|---|---|---|
| 1 | Wyandot Memorial Hospital | Upper Sandusky, OH | $389 | $1,165 below |
| 2 | Holzer Medical Center Jackson | Jackson, OH | $410 | $1,144 below |
| 3 | Blanchard Valley Regional Health Center | Bluffton, OH | $438 | $1,116 below |
| 4 | Fairfield Medical Center | OH | $439 | $1,115 below |
| 5 | The Christ Hospital | OH | $450 | $1,104 below |
| 6 | Avita Ontario Hospital | Ontario, OH | $513 | $1,041 below |
| 7 | Galion Community Hospital | Oh, OH | $513 | $1,041 below |
| 8 | Bucyrus Community Hospital | Bucyrus, OH | $513 | $1,041 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
- Is this the self-pay price, and does it include the doctor, anesthesia and any lab or pathology? Those are often billed separately.
- Can you give me the price in writing, with the billing codes it covers?
- 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
- Wyandot Memorial Hospital is the lowest-cost option at $389 - $1,165 below the median posted price ($1,554), just by choosing where you go.
- Ask for the cash price if your deductible isn't met - the median cash price here is $1,554, 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.
| Coverage | Hospitals with a rate | Typical range | Median |
|---|---|---|---|
| Medicare (national rate) | — | $1,687 to $1,687 | $1,687 |
| With insurance (commercial, average) | 86 | $585 to $4,602 | $2,444 |
| Without insurance (cash price) | 158 | $258 to $3,812 | $1,554 |
| Anthem Blue Cross and Blue Shield | 68 | $408 to $5,990 | $2,403 |
| Aetna | 61 | $190 to $4,642 | $1,982 |
| UnitedHealthcare | 56 | $917 to $4,936 | $2,358 |
| Cigna | 48 | $377 to $8,625 | $2,126 |
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 Ohio?
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 Ohio?
Across 86 Ohio hospitals, the negotiated rates commercial insurers pay for breast biopsy average $585 to $4,602 per hospital, with a median near $2,444. 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 Ohio?
Cash (self-pay) prices for breast biopsy at 158 Ohio hospitals range from $258 to $3,812, with a median of $1,554. 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 Anthem Blue Cross and Blue Shield in Ohio?
Anthem Blue Cross and Blue Shield negotiated rates for breast biopsy at 68 Ohio hospitals range from $408 to $5,990, with a median near $2,403. 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 Ohio?
Aetna negotiated rates for breast biopsy at 61 Ohio hospitals range from $190 to $4,642, with a median near $1,982. 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 Ohio?
UnitedHealthcare negotiated rates for breast biopsy at 56 Ohio hospitals range from $917 to $4,936, with a median near $2,358. 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 Ohio?
Cigna negotiated rates for breast biopsy at 48 Ohio hospitals range from $377 to $8,625, with a median near $2,126. 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.
- Facility fee $251–$8,388
- Professional fee $99–$696
Estimated from CMS fee schedules + commercial rate multipliers
- Facility fee $258–$6,727
- Professional fee $99–$696
Estimated from CMS fee schedules + commercial rate multipliers
Ohio has one of the most concentrated hospital markets in the Midwest. Cleveland Clinic and University Hospitals compete in Northeast Ohio (one of the few Ohio markets with genuine competition); OhioHealth and Nationwide Children's dominate Columbus; Kettering Health and Premier Health compete in Dayton. Prices across Ohio's urban markets tend to run near the Midwest median.
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 (19) report prices above $3,484, including MERCY HEALTH ANDERSON HOSPITAL LLC at $8,388, 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 $1,546 versus $1,448 inpatient, 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 | ~$1,554 |
| Deductible met - 20% coinsurance | ~$311 |
| Out-of-network provider | $3,419+ |
Frequently asked questions: breast biopsy costs in Ohio
How much does a breast biopsy cost in Ohio?
The typical insurer-negotiated rate is $311, with most facilities between $125 and $1,561 (based on 133 hospitals reporting negotiated rates). Posted cash prices at the middle 80% of Ohio hospitals run $258–$3,812; 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 Ohio?
Based on declared prices, the lowest posted price in our Ohio data is Wyandot Memorial Hospital in Upper Sandusky at about $389. By metro, Akron has the lowest median ($750).
Why is a breast biopsy so much cheaper at some Ohio hospitals?
Typical prices vary about 12.5× (25th to 70th percentile of negotiated rates) because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In Ohio, the median cash (self-pay) price is $1,554 versus a median negotiated rate of $2,444 - 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 Ohio?
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
- Deductible vs out-of-pocket max
- How to negotiate your medical bills
- EOB vs medical bill: complete guide
- Already have a bill? Check it for errors
- Understanding your UnitedHealthcare EOB
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CostKits compiles hospital price transparency data to help families make informed decisions. Track and manage your healthcare costs (free account).
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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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