Prostate biopsy cost.
What prostate biopsy costs at 123 US hospitals across 58 metros, pulled from the federally-mandated machine-readable files each hospital is required to publish. Cash-pay range: $69 to $10,862 (157× spread). CPT code 55700.
Top 5 cheapest hospitals for prostate biopsy.
| # | Hospital | Cash price |
|---|---|---|
| 1 |
Jefferson Regional Medical Center
Jefferson Hills, PA
|
$69 to $78 |
| 2 |
Allegheny General Hospital
Pittsburgh, PA
|
$87 to $6,227 |
| 3 |
Maimonides Medical Center
Brooklyn, NY
|
$370 to $6,967 |
| 4 |
Adventist Health Simi Valley
Simi Valley, CA
|
$386 |
| 5 |
Vanderbilt University Medical Center
Nashville, TN
|
$419 to $2,548 |
See all 123 hospitals, your insurance, your zip.
Pick your insurance plan, enter your zip, see your estimated out-of-pocket cost. Same data, your view.
Compare prostate biopsy prices →What is prostate biopsy?
Tissue biopsy of the prostate for cancer evaluation.
Used after an elevated PSA blood test or abnormal digital exam. Outpatient, ~30 minutes, transrectal or transperineal approach. The published rate is the facility fee; the pathologist who reads the samples bills separately.
If this gets ordered, ask your urologist whether MRI-guided fusion biopsy (different code, more accurate) is appropriate — it's often more accurate but pricier.
Why prices vary this much.
The same prostate biopsy on the same equipment can cost 157 times more at one hospital than another. Three reasons.
Chargemasters are arbitrary. The "sticker price" hospitals publish was never designed for consumers. It's a starting number for negotiation with insurance companies, with adjustments stacked on top for decades. Almost no one pays the chargemaster.
Negotiated rates are confidential bilateral contracts. Each insurance company negotiates its own rate with each hospital. Aetna at Hospital A might pay 60% of what Cigna pays at the same hospital for the same code. You see one rate; the hospital sees dozens.
Cash pay is a separate thing entirely. Many hospitals offer a "self-pay" or "cash-pay" rate that's dramatically cheaper than what they'd bill insurance, especially for elective imaging. If you have a high-deductible plan, paying cash and filing for reimbursement (or just eating the cost) can be the cheapest path.
What to ask the hospital before you book.
The four questions that surface hidden costs:
1. "Is the price you're quoting me the all-in price, or just the facility fee?" Hospitals often quote the facility fee and bill the radiologist or anesthesiologist separately on a different invoice.
2. "What's the cash-pay rate vs the rate you'd bill my insurance?" Don't assume insurance is cheaper. For high-deductible plans, cash pay is often the better deal.
3. "If I'm uninsured, do you have a financial assistance policy I qualify for?" Federally-tax-exempt hospitals are required to have one, and it can knock 50-100% off the bill for households under specific income thresholds.
4. "If I get a bill and the price is different than what was quoted, what's your dispute process?" Get the answer before you book, in writing if possible. If the bill comes in higher than the quote, you have leverage.