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Reviewed by John Caruso, FSA, MAAA • Data last updated

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

What does a prostate biopsy cost in Florida?

You could pay $1,098 or $2,820 for the same prostate biopsy in Florida - depending entirely on which facility you choose. The median cash price across 121 reporting hospitals is $1,929. 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 Florida

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.

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  • ✓ 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

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Cheapest Prostate Biopsy Providers in Florida

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

# Facility City Price vs median ($1,929)
1 Adventhealth North Pinellas Tarpon Springs, FL $506 $1,423 below
2 Adventhealth Tampa Tampa, FL $537 $1,392 below
3 Adventhealth Carrollwood Tampa, FL $537 $1,392 below
4 University Of Miami Hosp & Clinics Miami, FL $543 $1,386 below
5 HCA FLORIDA OAK HILL HOSPITAL Spring Hill, FL $593 $1,336 below
6 Parrish Medical Center FL $616 $1,313 below
7 Wellington Regional Medical Center Wellington, FL $632 $1,297 below
8 Broward Health Imperial Point Fort Lauderdale, FL $651 $1,278 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

  • Adventhealth North Pinellas is the lowest-cost option at $506 - $1,423 below the median posted price ($1,929), just by choosing where you go.
  • Ask for the cash price if your deductible isn't met - the median cash price here is $1,929, 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 Florida, October 2026
CoverageHospitals with a rateTypical rangeMedian
Medicare (national rate)—$240 to $240$240
With insurance (commercial, average)84$1,272 to $5,749$3,274
Without insurance (cash price)124$516 to $4,426$1,929
Florida Blue15$3,070 to $8,148$5,544
Aetna22$151 to $4,259$1,318
UnitedHealthcare16$1,491 to $10,645$5,750
Humana11$846 to $2,202$2,136

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 Florida?

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 Florida?

Across 84 Florida hospitals, the negotiated rates commercial insurers pay for prostate biopsy average $1,272 to $5,749 per hospital, with a median near $3,274. 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 Florida?

Cash (self-pay) prices for prostate biopsy at 124 Florida hospitals range from $516 to $4,426, with a median of $1,929. 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 Florida Blue?

Florida Blue negotiated rates for prostate biopsy at 15 Florida hospitals range from $3,070 to $8,148, with a median near $5,544. 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 Florida?

Aetna negotiated rates for prostate biopsy at 22 Florida hospitals range from $151 to $4,259, with a median near $1,318. 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 UnitedHealthcare in Florida?

UnitedHealthcare negotiated rates for prostate biopsy at 16 Florida hospitals range from $1,491 to $10,645, with a median near $5,750. 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 much does a prostate biopsy cost with Humana in Florida?

Humana negotiated rates for prostate biopsy at 11 Florida hospitals range from $846 to $2,202, with a median near $2,136. If a hospital is out of network for your Humana 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
$519–$24,088
  • Facility fee $330–$23,584
  • Professional fee $189–$504

Estimated from CMS fee schedules + commercial rate multipliers

Hospital Inpatient
$550–$24,088
  • Facility fee $361–$23,584
  • Professional fee $189–$504

Estimated from CMS fee schedules + commercial rate multipliers

Florida has one of the most fragmented hospital markets in the country - HCA Healthcare (the nation's largest for-profit system, headquartered in Nashville), AdventHealth, BayCare, and dozens of independents compete aggressively in major metros. South Florida prices track higher than the rest of the state, driven by higher wage indices and a larger share of complex specialty care. Rural northern Florida has extensive critical access hospital coverage.

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 (4) report prices above $6,276, including Holy Cross Hospital-Ft. Lauderdale at $12,836, 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 $1,929 versus $1,929 inpatient, so where a procedure happens often matters more than which hospital you pick.

None of the prices above are what you'll necessarily owe: your deductible, out-of-pocket maximum, and each provider's network status all still apply.

Your situation Estimated out-of-pocket
Deductible not yet met ~$1,929
Deductible met - 20% coinsurance ~$386
Out-of-network provider $4,244+

Frequently asked questions: prostate biopsy costs in Florida

How much does a prostate biopsy cost in Florida?

The typical insurer-negotiated rate is $1,109, with most facilities between $532 and $2,779 (based on 120 hospitals reporting negotiated rates). Posted cash prices at the middle 80% of Florida hospitals run $516–$4,426; 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 Florida?

Based on declared prices, the lowest posted price in our Florida data is Adventhealth North Pinellas in Tarpon Springs at about $506. By metro, Fort Myers has the lowest median ($423).

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

Typical prices vary about 5.2× (25th to 70th percentile of negotiated rates) because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In Florida, the median cash (self-pay) price is $1,929 versus a median negotiated rate of $3,274 - 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 Florida?

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 Florida

Prostate Biopsy, elsewhere

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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Published October 29, 2026 · Updated October 29, 2026

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