CostKits Healthcare, Organized
Login
Home Tools Procedure Costs Learn
Reviewed by John Caruso, FSA, MAAA • Data last updated

Prostate Biopsy Cost in California (2026): Average Prices & What You'll Pay

What does a prostate biopsy cost in California?

You could pay $1,404 or $2,971 for the same prostate biopsy in California - depending entirely on which facility you choose. The median cash price across 142 reporting hospitals is $2,132. This data comes directly from hospital price transparency files published under federal law. The sections below break this down by coverage and by insurer.

Three low-priced facilities in California, from hospital price files

  • Sutter Santa Rosa Regional Hospital · Santa Rosa, CA $618
  • Sutter Solano Medical Center · Vallejo, CA $692
  • Sutter Amador Hospital · Jackson, CA $692

All 142 facilities are listed below, free.

Where prostate biopsy costs vary in California

Pins show hospitals with price-transparency data (colored by vs. state average) and nearby outpatient clinics and other facilities (colored by type). Click any pin for facility name and estimated cost range.

Hospital (below avg) Hospital (above avg) Click a pin for details.

26+ people checked prices near them this month.

What you pay for a prostate biopsy depends on where you go and what is billed separately. Most patients find out after.

Your personalized cost report includes:

  • ✓ Guidance method: Ultrasound-guided and MRI-guided biopsies are priced differently, and MRI fusion biopsies tend to cost more.
  • ✓ Pathology is separate: The lab that examines the samples bills on its own, and the number of samples affects that bill.
  • ✓ Which bills usually arrive separately, and which providers to check are in-network
  • ✓ The questions to ask before you schedule, so the estimate covers everything
  • ✓ A real patient billing breakdown, line by line

Free for patients - takes 30 seconds to get.

We'll send a sign-in link to your email - click it to get your guide. No account required, no spam.

Cheapest Prostate Biopsy Providers in California

Based on declared cash/self-pay prices from CMS hospital price transparency files.

# Facility City Price vs median ($2,132)
1 Sutter Santa Rosa Regional Hospital Santa Rosa, CA $618 $1,514 below
2 Sutter Solano Medical Center Vallejo, CA $692 $1,440 below
3 Sutter Amador Hospital Jackson, CA $692 $1,440 below
4 Sutter Roseville Medical Center Roseville, CA $692 $1,440 below
5 Sutter Davis Hospital Davis, CA $692 $1,440 below
6 Sutter Auburn Faith Hospital Auburn, CA $692 $1,440 below
7 University of California Davis Medical Center Sacramento, CA $712 $1,420 below
8 Sutter Maternity & Surgery Center of Santa Cruz Santa Cruz, CA $713 $1,419 below

Prices are declared self-pay rates. Contact each facility for a formal quote before scheduling.

Before you book: three questions that change the price

  1. Is this the self-pay price, and does it include the doctor, anesthesia and any lab or pathology? Those are often billed separately.
  2. Can you give me the price in writing, with the billing codes it covers?
  3. What happens to the price if something extra is needed during the procedure?

Estimate your out-of-pocket cost →  ·  When the bills arrive, we check them for errors →

Quick take

  • Sutter Santa Rosa Regional Hospital is the lowest-cost option at $618 - $1,514 below the median posted price ($2,132), just by choosing where you go.
  • Ask for the cash price if your deductible isn't met - the median cash price here is $2,268, and it's often lower than what insurance pays before your deductible is satisfied.
  • Doctor offices and independent clinics may charge differently from hospitals for the same service and may not appear in this hospital-only dataset. Ask your doctor whether another site is an option.
Prostate biopsy prices by coverage in California, October 2026
CoverageHospitals with a rateTypical rangeMedian
Medicare (national rate)—$240 to $240$240
With insurance (commercial, average)113$1,851 to $12,519$4,652
Without insurance (cash price)152$625 to $8,007$2,268
Anthem Blue Cross107$1,490 to $11,487$4,769
Aetna72$627 to $13,712$8,966
Cigna57$2,234 to $11,816$6,193
UnitedHealthcare43$2,049 to $7,070$3,316

Rates are negotiated allowed amounts and cash prices from hospital price-transparency files (October 2026), shown at each hospital’s lowest-priced typical billing code for this procedure. Facility fees only. The typical range is the middle 80% of hospitals, not a quote for your visit.

How much does a prostate biopsy cost with Medicare in California?

Medicare's national fee-schedule payment for prostate biopsy is about $240 to $240 (typically near $240). After the $257 Part B deductible, you generally pay 20% of the Medicare-approved amount, about $48 on a $240 payment, with no out-of-pocket cap unless you have supplemental coverage or a Medicare Advantage plan.

Doctor, anesthesia and pathology fees are billed separately. Medicare rates are national CMS amounts, adjusted slightly by local wage levels.

How much does a prostate biopsy cost with insurance in California?

Across 113 California hospitals, the negotiated rates commercial insurers pay for prostate biopsy average $1,851 to $12,519 per hospital, with a median near $4,652. That is the amount your plan and you pay the hospital together; you owe your deductible, then coinsurance, up to your out-of-pocket maximum.

Each hospital’s figure is the average of the commercial insurers it lists. Medicare, Medicare Advantage and Medicaid rates are excluded.

How much does a prostate biopsy cost without insurance in California?

Cash (self-pay) prices for prostate biopsy at 152 California hospitals range from $625 to $8,007, with a median of $2,268. Ask for the cash or self-pay price and for any financial-assistance discount before you book; both can be lower than the posted price.

Cash prices are the hospital’s published discounted rate for patients paying without insurance.

How much does a prostate biopsy cost with Anthem Blue Cross in California?

Anthem Blue Cross negotiated rates for prostate biopsy at 107 California hospitals range from $1,490 to $11,487, with a median near $4,769. Your own cost depends on your plan’s deductible and coinsurance, and on whether the hospital is in your network.

Includes Blue Cross and Blue Shield and Anthem plans listed by each hospital.

How much does a prostate biopsy cost with Aetna in California?

Aetna negotiated rates for prostate biopsy at 72 California hospitals range from $627 to $13,712, with a median near $8,966. If a hospital is out of network for your Aetna plan, you may owe more than the negotiated rate, so check the network first.

How much does a prostate biopsy cost with Cigna in California?

Cigna negotiated rates for prostate biopsy at 57 California hospitals range from $2,234 to $11,816, with a median near $6,193. If a hospital is out of network for your Cigna plan, you may owe more than the negotiated rate, so check the network first.

How much does a prostate biopsy cost with UnitedHealthcare in California?

UnitedHealthcare negotiated rates for prostate biopsy at 43 California hospitals range from $2,049 to $7,070, with a median near $3,316. If a hospital is out of network for your UnitedHealthcare plan, you may owe more than the negotiated rate, so check the network first.

How where you go changes what you pay for prostate biopsy

The same prostate biopsy bundles different services depending on the setting - facility fee, surgeon fee, and anesthesia each arrive as separate bills. Estimated ranges below reflect the typical full bundled cost, including all expected charges.

Hospital Outpatient
$239–$18,647
  • Facility fee $50–$18,143
  • Professional fee $189–$504

Estimated from CMS fee schedules + commercial rate multipliers

Hospital Inpatient
$556–$6,064
  • Facility fee $367–$5,560
  • Professional fee $189–$504

Estimated from CMS fee schedules + commercial rate multipliers

California has the most competitive commercial hospital market in the country, with aggressive multi-system competition in every major metro driving meaningful price variation. Kaiser Permanente's integrated payer-provider model covers roughly 40% of the insured population in the state - if you're Kaiser-enrolled, the prices here largely don't apply. California's robust price transparency enforcement under SB 1204 means the data here is more complete than in most states.

Received a bill? Check it for errors → Estimate YOUR cost before you go → Managing more than one bill? See the family tracker →

Why prices vary - and what it means for your coverage

A small number of hospitals (20) report prices above $7,089, including Saint Agnes Medical Center at $18,143, which drives most of the overall spread - excluding them, most facilities cluster in a much tighter band. Setting matters too: the median outpatient price is $2,132 versus $2,093 inpatient, so where a procedure happens often matters more than which hospital you pick.

On top of the facility price, your actual bill depends on your deductible, your out-of-pocket maximum, and whether every provider involved - not just the facility - is in-network.

Your situation Estimated out-of-pocket
Deductible not yet met ~$2,132
Deductible met - 20% coinsurance ~$426
Out-of-network provider $4,690+

Frequently asked questions: prostate biopsy costs in California

How much does a prostate biopsy cost in California?

The typical insurer-negotiated rate is $1,548, with most facilities between $125 and $3,138 (based on 142 hospitals reporting negotiated rates). Posted cash prices at the middle 80% of California hospitals run $625–$8,007; outlier facilities above and below that range are left out. What you pay depends on the facility, your insurance, and whether you have met your deductible.

Where is the cheapest place to get a prostate biopsy in California?

Based on declared prices, the lowest posted price in our California data is Sutter Santa Rosa Regional Hospital in Santa Rosa at about $618. By metro, Long Beach has the lowest median ($1,459).

Why is a prostate biopsy so much cheaper at some California hospitals?

Typical prices vary about 25.1× (25th to 70th percentile of negotiated rates) because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In California, the median cash (self-pay) price is $2,268 versus a median negotiated rate of $4,652 - cash is the lower number at many hospitals. Asking for the cash price as well as your insurer's negotiated rate is often the single biggest lever on what you pay.

How much will I actually pay out of pocket for a prostate biopsy in California?

Your out-of-pocket cost depends on your deductible, coinsurance, out-of-pocket maximum, and whether the facility is in-network - not just the sticker price. If you have not met your deductible, you will typically pay the negotiated rate in full until you do. Use the CostKits cost forecaster to estimate your specific out-of-pocket amount before you go.

Before you book

Other procedures in California

Prostate Biopsy, elsewhere

CostKits compiles hospital price transparency data to help families make informed decisions. Track and manage your healthcare costs (free account).

Other Procedure Costs in California

Urology and women's health

Imaging and scans

Heart and cardiac tests

Sleep and breathing tests

Scopes and screening

Bone, joint and pain

General surgery

Lab tests

Ear, nose and throat

Eye care

Infusions

Emergency care

Interested in understanding healthcare costs and managing your medical expenses?

About the Author

John Caruso, FSA, MAAA

Healthcare actuary with 20+ years of experience in insurance pricing, medical billing systems, and healthcare cost analytics.

Connect on LinkedIn →

Ready to take control of your healthcare costs?

Use the free cost estimator →  ·  Get your bill screened for free →  ·  See the family plan →

Published October 29, 2026 · Updated October 29, 2026

Track Your Healthcare Costs

Create a free account to save procedures, compare prices, and analyze future medical bills.