CPT 19287 Surgery - Integumentary

How Much Does Percutaneous Device Breast Initial Mr Guide Cost?

Also known as: Perq dev breast 1st mr guide (CPT 19287)

Percutaneous Device Breast Initial Mr Guide (CPT 19287) costs $106 at Medicare rates. Hospital outpatient rate: $723.

Cost Comparison by Payer

How much Perq dev breast 1st mr guide costs across different settings and payers

Medicare
Facility rate
$106
Hospital Outpatient
OPPS rate
$723
Medicare (Facility)
$106
CMS PFS 2026 national rate
Medicare (Office/Clinic)
$599
Non-facility setting
Hospital Outpatient
$723
OPPS rate

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These procedures are frequently performed alongside Perq dev breast 1st mr guide

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How to Reduce Your Cost for Perq dev breast 1st mr guide

Practical tips that can save you hundreds or thousands of dollars

  • 1
    Ask about cash-pay discounts

    Many hospitals and clinics offer 20-40% discounts for self-pay patients. Always ask before scheduling.

  • 2
    Compare facility vs. office setting costs

    For this procedure, the office rate ($599) differs from the facility rate ($106). Ask if it can be done in an office setting.

  • 3
    Shop around — costs vary significantly

    Costs can vary 2-3x between providers in the same city. Get quotes from multiple facilities.

How is the Price Calculated?

Medicare calculates procedure payments using Relative Value Units (RVUs). Each procedure has three components multiplied by a conversion factor ($33.40 in 2026) and adjusted by geographic cost indices.

2.49
Work RVU
0.45
Practice Expense RVU
0.23
Malpractice RVU
17.94
Total RVU

Payment = Total RVU (17.94) x CF ($33.40) = $599

Frequently Asked Questions

How much does Perq dev breast 1st mr guide cost?

The Medicare facility rate for Perq dev breast 1st mr guide is $106. In a hospital outpatient setting, the rate is $723. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).

How much does Perq dev breast 1st mr guide cost without insurance?

Without insurance, the cost of Perq dev breast 1st mr guide can range from 150% of Medicare to 500% of Medicare depending on the facility. Many hospitals and clinics offer self-pay discounts of 20-40% off their chargemaster price. Always ask about cash pricing before your visit.

Does insurance cover Perq dev breast 1st mr guide?

Most commercial health insurance plans and Medicare cover Perq dev breast 1st mr guide when ordered by a physician for a medically necessary reason. Your out-of-pocket cost depends on your plan's deductible, copay/coinsurance structure, and whether you use an in-network provider. Check with your insurance company before scheduling to confirm coverage and get a cost estimate.

Why does the cost vary so much by location?

Medicare adjusts payments using Geographic Practice Cost Indices (GPCIs) that reflect local differences in physician work costs, practice expenses, and malpractice insurance. Manhattan, San Francisco, and other high-cost areas pay significantly more than rural regions. Commercial insurers follow similar geographic patterns.

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