Prostate Biopsy Cost in Connecticut (2026): Average Prices & What You'll Pay
What does a prostate biopsy cost in Connecticut?
You could pay $819 or $2,376 for the same prostate biopsy in Connecticut - depending entirely on which facility you choose. The median cash price across 22 reporting hospitals is $819. This data comes directly from hospital price transparency files published under federal law. The sections below break this down by coverage and by insurer.
Once you have a bill or an appointment on the calendar, CostKits can help you keep it all organized.
Where prostate biopsy costs vary in Connecticut
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.
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What you pay for a prostate biopsy depends on where you go and what is billed separately. Most patients find out after.
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Cheapest Prostate Biopsy Providers in Connecticut
Based on declared cash/self-pay prices from CMS hospital price transparency files.
| # | Facility | City | Price | vs median ($819) |
|---|---|---|---|---|
| 1 | Saint Marys Hospital | Waterbury, CT | $430 | $389 below |
| 2 | Middlesex Hospital | CT | $430 | $389 below |
| 3 | Griffin Hospital | Derby, CT | $430 | $389 below |
| 4 | Sharon Hospital | Po Box 789, CT | $446 | $373 below |
| 5 | THE CHARLOTTE HUNGERFORD HOSPITAL | Torrington, CT | $819 | $0 above |
| 6 | SVMC HOLDINGS INC D/B/A ST VINCENTS MEDICAL CENTER | Bridgeport, CT | $819 | $0 above |
| 7 | THE WILLIAM W BACKUS HOSPITAL | Norwich, CT | $819 | $0 above |
| 8 | HARTFORD HOSPITAL | Hartford, CT | $819 | $0 above |
Prices are declared self-pay rates. Contact each facility for a formal quote before scheduling.
Before you book: three questions that change the price
- Is this the self-pay price, and does it include the doctor, anesthesia and any lab or pathology? Those are often billed separately.
- Can you give me the price in writing, with the billing codes it covers?
- 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
- Saint Marys Hospital is the lowest-cost option at $430 - $389 below the median posted price ($819), just by choosing where you go.
- Ask for the cash price if your deductible isn't met - the median cash price here is $819, 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.
| Coverage | Hospitals with a rate | Typical range | Median |
|---|---|---|---|
| Medicare (national rate) | — | $240 to $240 | $240 |
| With insurance (commercial, average) | 13 | $2,097 to $7,090 | $5,634 |
| Without insurance (cash price) | 22 | $430 to $2,968 | $819 |
| Anthem Blue Cross and Blue Shield | 8 | $1,537 to $7,208 | $5,898 |
| Aetna | 7 | $1,713 to $6,136 | $5,244 |
| Cigna | 6 | $1,412 to $8,931 | $4,286 |
| UnitedHealthcare | 4 | $2,189 to $7,367 | $6,444 |
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 Connecticut?
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 Connecticut?
Across 13 Connecticut hospitals, the negotiated rates commercial insurers pay for prostate biopsy average $2,097 to $7,090 per hospital, with a median near $5,634. 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 Connecticut?
Cash (self-pay) prices for prostate biopsy at 22 Connecticut hospitals range from $430 to $2,968, with a median of $819. 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 and Blue Shield in Connecticut?
Anthem Blue Cross and Blue Shield negotiated rates for prostate biopsy at 8 Connecticut hospitals range from $1,537 to $7,208, with a median near $5,898. 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 Connecticut?
Aetna negotiated rates for prostate biopsy at 7 Connecticut hospitals range from $1,713 to $6,136, with a median near $5,244. 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 Connecticut?
Cigna negotiated rates for prostate biopsy at 6 Connecticut hospitals range from $1,412 to $8,931, with a median near $4,286. 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 Connecticut?
UnitedHealthcare negotiated rates for prostate biopsy at 4 Connecticut hospitals range from $2,189 to $7,367, with a median near $6,444. 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.
- Facility fee $310–$14,410
- Professional fee $189–$504
Estimated from CMS fee schedules + commercial rate multipliers
- Facility fee $1,627–$1,627
- Professional fee $189–$504
Estimated from CMS fee schedules + commercial rate multipliers
Yale New Haven Health and Hartford HealthCare together cover most of the state's hospital capacity, and Connecticut has some of the highest commercial insurance reimbursement rates in the US - a reflection of high labor costs, high cost-of-living, and limited market competition. Prices here routinely run 20–40% above the national median for the same services.
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 (1) report prices above $5,520, including Bristol Hospital, Inc at $5,244, 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 $819 versus $1,627 inpatient (about 2× more), so where a procedure happens often matters more than which hospital you pick.
What you pay out of pocket on top of this depends on your deductible, your plan's out-of-pocket maximum, and whether every provider involved is in-network - not just the facility.
| Your situation | Estimated out-of-pocket |
|---|---|
| Deductible not yet met | ~$819 |
| Deductible met - 20% coinsurance | ~$164 |
| Out-of-network provider | $1,802+ |
Frequently asked questions: prostate biopsy costs in Connecticut
How much does a prostate biopsy cost in Connecticut?
The typical insurer-negotiated rate is $642, with most facilities between $186 and $819 (based on 22 hospitals reporting negotiated rates). Posted cash prices at the middle 80% of Connecticut hospitals run $430–$2,968; 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 Connecticut?
Based on declared prices, the lowest posted price in our Connecticut data is Saint Marys Hospital in Waterbury at about $430. By metro, Hartford has the lowest median ($819).
Why is a prostate biopsy so much cheaper at some Connecticut hospitals?
Typical prices vary about 4.4× (25th to 70th percentile of negotiated rates) because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In Connecticut, the median cash (self-pay) price is $819 versus a median negotiated rate of $5,634 - 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 Connecticut?
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
- Allowed amount vs negotiated rate: what your EOB is really saying
- How to read your medical bill
- Deductible vs out-of-pocket max
- Already have a bill? Check it for errors
- How to read a Medicare Summary Notice
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CostKits compiles hospital price transparency data to help families make informed decisions. Track and manage your healthcare costs (free account).
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About the Author
John Caruso, FSA, MAAA
Healthcare actuary with 20+ years of experience in insurance pricing, medical billing systems, and healthcare cost analytics.
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