Removal of a breast lump (biopsy by excision) in Sheboygan, WI: hospital prices
2 hospitals in the Sheboygan, WI metro area price CPT 19120 in their files, but fewer than three list a cash price, so we show the rows without a ranking.
One hospital in the Sheboygan, WI metro area lists removal of a breast lump (biopsy by excision) (CPT 19120) in its price file, but only as a list price or negotiated insurer rates, not as a cash price. Hospitals must publish a discounted cash price for every shoppable service; where it is missing you can still ask for one by phone.
Sorted by cash price
Hospital facility fee onlySheboygan · 3 mi · File Nov 2025
What's in the price
The hospital facility fee for CPT 19120. The doctor, anesthesia and lab work usually bill separately.
Cash vs. insured
Cash is what you pay without insurance. With insurance you pay a share of the negotiated rate, which can be higher than cash. You may ask for the cash price.
What to say on the phone
"I'd like the self-pay price for CPT 19120, in writing, and whether it covers facility, physician and anesthesia."
About removal of a breast lump (biopsy by excision)
CPT 19120 is the surgical removal of a breast lump, cyst or other mass through an incision, with the tissue sent to pathology. It is an outpatient operation under general or local anesthesia, taking about an hour, and is used when a needle biopsy is not possible or when the whole lump needs to come out.
What the price covers
The hospital's price is the facility fee for the operating room, nursing, supplies and recovery. The surgeon, the anesthesia provider and the pathologist bill separately. Pre-operative imaging and any wire or seed placed to locate the lump are separate charges.
Why prices vary
Outpatient breast surgery prices span several times within one metro area. Ambulatory surgery centers, which do not publish these files, are often considerably cheaper than hospital outpatient departments for the same operation. Large systems and academic centers list the highest charges.
Questions to ask
- What is the self-pay price for 19120, and what do surgeon, anesthesia and pathology add?
- Is localization (wire or seed) needed, and what does it cost?
- Can the surgeon do it at an ambulatory surgery center?