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

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

What does a breast biopsy cost in Rhode Island?

Where you have a breast biopsy done in Rhode Island swings the bill from $923 to $1,657 for identical care. The median cash price across 11 reporting hospitals is $1,155. 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 Rhode Island

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 Rhode Island

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

# Facility City Price vs median ($1,155)
1 Kent County Memorial Hospital Warwick, RI $514 $641 below
2 Women and Infants Hospital of Rhode Island Providence, RI $514 $641 below
3 The Miriam Hospital Providence, RI $826 $329 below
4 SOUTH COUNTY HEALTH RI $923 $232 below
5 Prospect CharterCare SJHSRI, LLC North Providence, RI $1,004 $151 below
6 Newport Hospital Newport, RI $1,155 $0 above
7 Westerly Hospital RI $1,600 $445 above
8 Rhode Island Hospital Providence, RI $1,657 $502 above

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

  • Kent County Memorial Hospital is the lowest-cost option at $514 - $641 below the median posted price ($1,155), just by choosing where you go.
  • Ask for the cash price if your deductible isn't met - the median cash price here is $1,155, 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 Rhode Island, October 2026
CoverageHospitals with a rateTypical rangeMedian
Medicare (national rate)—$1,687 to $1,687$1,687
With insurance (commercial, average)5$2,352 to $4,228$4,042
Without insurance (cash price)11$514 to $1,847$1,155
Blue Cross & Blue Shield of Rhode Island4$2,233 to $3,338$3,224
UnitedHealthcare4$1,133 to $4,207$2,950
Cigna3$7,862 to $9,960$8,085

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 Rhode Island?

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 Rhode Island?

Across 5 Rhode Island hospitals, the negotiated rates commercial insurers pay for breast biopsy average $2,352 to $4,228 per hospital, with a median near $4,042. 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 Rhode Island?

Cash (self-pay) prices for breast biopsy at 11 Rhode Island hospitals range from $514 to $1,847, with a median of $1,155. 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 & Blue Shield of Rhode Island?

Blue Cross & Blue Shield of Rhode Island negotiated rates for breast biopsy at 4 Rhode Island hospitals range from $2,233 to $3,338, with a median near $3,224. 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 Rhode Island?

UnitedHealthcare negotiated rates for breast biopsy at 4 Rhode Island hospitals range from $1,133 to $4,207, with a median near $2,950. 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 Rhode Island?

Cigna negotiated rates for breast biopsy at 3 Rhode Island hospitals range from $7,862 to $9,960, with a median near $8,085. 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
$613–$2,543
  • Facility fee $514–$1,847
  • Professional fee $99–$696

Estimated from CMS fee schedules + commercial rate multipliers

Hospital Inpatient
$1,834–$5,088
  • Facility fee $1,735–$4,392
  • Professional fee $99–$696

Estimated from CMS fee schedules + commercial rate multipliers

Lifespan (Rhode Island Hospital, Miriam Hospital) and Care New England (Women & Infants, Kent Hospital) dominate a market that is effectively a single metro area - Providence and its immediate suburbs. Rhode Island approved a merger between the two systems, which when complete will create a near-monopoly in the state's hospital market. Prices here already trend above the Northeast average.

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Why prices vary - and what it means for your coverage

A small number of hospitals (1) report prices above $2,929, including Rehabilitation Hospital of Rhode Island at $4,392, 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 $1,004 versus $3,064 inpatient (about 3.1× 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 ~$1,155
Deductible met - 20% coinsurance ~$231
Out-of-network provider $2,541+

Frequently asked questions: breast biopsy costs in Rhode Island

How much does a breast biopsy cost in Rhode Island?

The typical insurer-negotiated rate is $778, with most facilities between $260 and $1,155 (based on 11 hospitals reporting negotiated rates). Posted cash prices at the middle 80% of Rhode Island hospitals run $514–$1,847; 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 Rhode Island?

Based on declared prices, the lowest posted price in our Rhode Island data is Kent County Memorial Hospital in Warwick at about $514. By metro, Providence has the lowest median ($1,242).

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

Typical prices vary about 4.4× (25th to 70th percentile of negotiated rates) because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In Rhode Island, the median cash (self-pay) price is $1,155 versus a median negotiated rate of $4,042 - 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 Rhode Island?

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 Rhode Island

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 Rhode Island

General surgery

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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