Fna bx w/ct gdn 1st les
CT-guided needle biopsy of skin lesions ranges from $93.65 at Medicare rates to $703.59 at hospital outpatient facilities, making it essential to verify your specific charges before treatment.
About the analyst
Kevin Nyk analyzes hospital pricing data at BillRazor Research. He specializes in Medicare reimbursement patterns and chargemaster pricing across U.S. hospitals. Expertise: hospital pricing, Medicare rates, chargemaster analysis.
A fine needle aspiration biopsy uses CT scan guidance to insert a thin needle and extract tissue samples from the first lesion for laboratory analysis. This procedure is commonly performed on patients with suspicious masses or nodules that require diagnostic testing. Code 10009 typically reimburses at different rates depending on whether it's performed in a hospital outpatient department versus an ambulatory surgical center.
No credit card required. Results in 60 seconds.
Facility rate
$94
National Medicare benchmark
Non-facility rate
$99
Office setting benchmark
Data sources
4
24 data points
Key insights for CPT 10009
ASC vs hospital outpatient savings
$326Having this done at an ambulatory surgery center costs $378 vs $704 at a hospital outpatient
Facility vs office setting
$5 differenceFacility setting is less expensive for this procedure
What this procedure costs across different settings
The same procedure can cost very different amounts depending on where it's performed. These are the Medicare-allowed amounts — what hospitals actually charge can be 3-10x higher.
| Setting | Medicare rate | vs lowest |
|---|---|---|
| Facility (physician office) | $94 | Lowest |
| Non-facility (office) | $99 | +6% |
| Outpatient (APC) | $704 | +651% |
| Ambulatory surgery (ASC) | $378 | +303% |
Got a bill with CPT 10009?
Upload your bill and our AI compares every line item against these exact benchmark rates. Free analysis in 60 seconds — you only pay if we find savings.
About this data
Rates shown are from the 2026 Medicare Physician Fee Schedule, Hospital Outpatient Prospective Payment System (OPPS), Ambulatory Surgery Center Payment System, Clinical Laboratory Fee Schedule, Durable Medical Equipment Fee Schedule, and CMS Inpatient Prospective Payment System (DRG weights). Regional adjustments use CMS Geographic Practice Cost Indices (GPCI). Hospital charges are from CMS Hospital Price Transparency machine-readable files. All data is publicly available under federal law (45 CFR Part 180).
This data is for informational purposes only and does not constitute medical or financial advice. Actual costs depend on insurance coverage, negotiated rates, and individual circumstances.
Related procedures
Related pricing data
Data: Medicare Physician Fee Schedule, CMS Inpatient PPS (IPPS), Outpatient PPS (OPPS), ASC Payment System, Clinical Lab Fee Schedule (CLFS), National Average Drug Acquisition Cost (NADAC). FY 2024 data. All publicly available from CMS.
Methodology: Facility rate applies when the procedure is performed in a hospital or ASC. Non-facility rate applies in a physician office. GPCI adjustments reflect regional cost-of-living differences.
This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use