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

What does a prostate biopsy cost in Indiana?

The same prostate biopsy in Indiana might cost you $437 at one facility and $2,052 at another - the building you walk into drives the difference. The median cash price across 78 reporting hospitals is $790. These figures come straight 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 Indiana, from hospital price files

  • Indiana University Health Ball Memorial Hospital Inc. · Muncie, IN $307
  • Carmel AmbSurg $330
  • Endo Surgery Center $330

All 78 facilities are listed below, free.

Where prostate biopsy costs vary in Indiana

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

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Cheapest Prostate Biopsy Providers in Indiana

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

# Facility City Price vs median ($790)
1 Indiana University Health Ball Memorial Hospital Inc. Muncie, IN $307 $483 below
2 Carmel AmbSurg IN $330 $460 below
3 Endo Surgery Center IN $330 $460 below
4 Naab Road Surgery Center IN $330 $460 below
5 St. Mary's Warrick Hospital, Inc. IN $330 $460 below
6 Good Samaritan Hosptial IN $338 $452 below
7 Indiana University Health Bloomington Inc. Bloomington, IN $356 $434 below
8 Indiana University Health Arnett Inc. Lafayette, IN $361 $429 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

  • Indiana University Health Ball Memorial Hospital Inc. is the lowest-cost option at $307 - $483 below the median posted price ($790), just by choosing where you go.
  • Ask for the cash price if your deductible isn't met - the median cash price here is $910, 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 Indiana, October 2026
CoverageHospitals with a rateTypical rangeMedian
Medicare (national rate)—$240 to $240$240
With insurance (commercial, average)26$114 to $8,460$2,370
Without insurance (cash price)67$359 to $6,831$910
Anthem Blue Cross and Blue Shield23$114 to $8,604$2,234
UnitedHealthcare10$1,563 to $2,633$2,182
Aetna8$352 to $5,400$2,562
Cigna6$2,307 to $5,217$2,696

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 Indiana?

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 Indiana?

Across 26 Indiana hospitals, the negotiated rates commercial insurers pay for prostate biopsy average $114 to $8,460 per hospital, with a median near $2,370. 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 Indiana?

Cash (self-pay) prices for prostate biopsy at 67 Indiana hospitals range from $359 to $6,831, with a median of $910. 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 Indiana?

Anthem Blue Cross and Blue Shield negotiated rates for prostate biopsy at 23 Indiana hospitals range from $114 to $8,604, with a median near $2,234. 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 UnitedHealthcare in Indiana?

UnitedHealthcare negotiated rates for prostate biopsy at 10 Indiana hospitals range from $1,563 to $2,633, with a median near $2,182. 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 Aetna in Indiana?

Aetna negotiated rates for prostate biopsy at 8 Indiana hospitals range from $352 to $5,400, with a median near $2,562. 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 Indiana?

Cigna negotiated rates for prostate biopsy at 6 Indiana hospitals range from $2,307 to $5,217, with a median near $2,696. 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 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
$273–$14,370
  • Facility fee $84–$13,866
  • Professional fee $189–$504

Estimated from CMS fee schedules + commercial rate multipliers

Hospital Inpatient
$553–$2,557
  • Facility fee $364–$2,053
  • Professional fee $189–$504

Estimated from CMS fee schedules + commercial rate multipliers

Indiana has one of the most concentrated hospital markets in the Midwest, which the FTC has previously flagged as insufficiently competitive. Indiana University Health and Ascension St. Vincent hold significant combined market share in Indianapolis. The lack of robust competition is reflected in commercial reimbursement rates that run above the Midwest average.

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 (12) report prices above $4,842, including Plymouth Medical Center at $13,866, 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 $774 versus $1,245 inpatient (about 1.6× more), 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 ~$790
Deductible met - 20% coinsurance ~$158
Out-of-network provider $1,738+

Frequently asked questions: prostate biopsy costs in Indiana

How much does a prostate biopsy cost in Indiana?

The typical insurer-negotiated rate is $86, with most facilities between $43 and $467 (based on 76 hospitals reporting negotiated rates). Posted cash prices at the middle 80% of Indiana hospitals run $359–$6,831; 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 Indiana?

Based on declared prices, the lowest posted price in our Indiana data is Indiana University Health Ball Memorial Hospital Inc. in Muncie at about $307. By metro, Indianapolis has the lowest median ($270).

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

Typical prices vary about 10.9× (25th to 70th percentile of negotiated rates) because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In Indiana, the median cash (self-pay) price is $910 versus a median negotiated rate of $2,370 - 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 Indiana?

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

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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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