Breast Biopsy vs Office Visit (Established Patient)
Medicare Cost Comparison 2025
Quick Answer
Breast Biopsy: $3,000 total · Medicare pays $2,400 · Patient pays $600
Office Visit (Established Patient): $150 total · Medicare pays $120 · Patient pays $30
Cost Comparison
| Metric | Breast Biopsy | Office Visit (Established Patient) |
|---|---|---|
| Total Average Cost | $3,000 | $150 |
| Medicare Pays | $2,400 | $120 |
| Patient Pays | $600 | $30 |
| Category | outpatient | physician |
FAQ
What is the cost difference between Breast Biopsy and Office Visit (Established Patient)?
Breast Biopsy costs $3,000 on average, while Office Visit (Established Patient) costs $150 — a difference of $2,850.
How much does Medicare pay for Breast Biopsy vs Office Visit (Established Patient)?
Medicare typically pays $2,400 for Breast Biopsy (patient owes $600). For Office Visit (Established Patient), Medicare pays $120 (patient owes $30).
What is Breast Biopsy?
Removal of breast tissue samples for cancer testing.
What is Office Visit (Established Patient)?
Follow-up evaluation and management visit with existing provider.