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

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

What does a prostate biopsy cost in Iowa?

You could pay $490 or $1,891 for the same prostate biopsy in Iowa - depending entirely on which facility you choose. The median cash price across 39 reporting hospitals is $858. 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 Iowa, from hospital price files

  • Regional Medical Center · Manchester, IA $443
  • ALEGENT HEALTH - MERCY HOSPITAL, CORNING IOWA · Corning, IA $444
  • Ringgold County Hospital · Mt Ayr, IA $447

All 39 facilities are listed below, free.

Where prostate biopsy costs vary in Iowa

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
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Cheapest Prostate Biopsy Providers in Iowa

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

# Facility City Price vs median ($858)
1 Regional Medical Center Manchester, IA $443 $415 below
2 ALEGENT HEALTH - MERCY HOSPITAL, CORNING IOWA Corning, IA $444 $414 below
3 Ringgold County Hospital Mt Ayr, IA $447 $411 below
4 CHI Health Missouri Valley Missouri Valley, IA $453 $405 below
5 Broadlawns Medical Center Des Moines, IA $455 $403 below
6 Mercy Medical Center-Clinton Inc Clinton, IA $466 $392 below
7 Covenant Medical Center Inc Waterloo, IA $466 $392 below
8 MANNING REGIONAL HEALTHCARE CENTER IA $467 $391 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

  • Regional Medical Center is the lowest-cost option at $443 - $415 below the median posted price ($858), just by choosing where you go.
  • Ask for the cash price if your deductible isn't met - the median cash price here is $852, 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 Iowa, October 2026
CoverageHospitals with a rateTypical rangeMedian
Medicare (national rate)—$240 to $240$240
With insurance (commercial, average)26$364 to $3,752$1,024
Without insurance (cash price)41$443 to $2,598$852
Wellmark Blue Cross and Blue Shield11$243 to $2,875$455
UnitedHealthcare19$301 to $5,491$2,549
Aetna18$211 to $4,973$3,020
Cigna8$748 to $2,395$1,462

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 Iowa?

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 Iowa?

Across 26 Iowa hospitals, the negotiated rates commercial insurers pay for prostate biopsy average $364 to $3,752 per hospital, with a median near $1,024. 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 Iowa?

Cash (self-pay) prices for prostate biopsy at 41 Iowa hospitals range from $443 to $2,598, with a median of $852. 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 Wellmark Blue Cross and Blue Shield in Iowa?

Wellmark Blue Cross and Blue Shield negotiated rates for prostate biopsy at 11 Iowa hospitals range from $243 to $2,875, with a median near $455. 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 Iowa?

UnitedHealthcare negotiated rates for prostate biopsy at 19 Iowa hospitals range from $301 to $5,491, with a median near $2,549. 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 Iowa?

Aetna negotiated rates for prostate biopsy at 18 Iowa hospitals range from $211 to $4,973, with a median near $3,020. 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 Iowa?

Cigna negotiated rates for prostate biopsy at 8 Iowa hospitals range from $748 to $2,395, with a median near $1,462. 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
$521–$16,103
  • Facility fee $332–$15,599
  • Professional fee $189–$504

Estimated from CMS fee schedules + commercial rate multipliers

Hospital Inpatient
$644–$2,597
  • Facility fee $455–$2,093
  • Professional fee $189–$504

Estimated from CMS fee schedules + commercial rate multipliers

Iowa's hospital market is dominated by UnityPoint Health and MercyOne (CommonSpirit), with relatively limited inter-system competition in most markets. Des Moines prices run below national averages, but facility fees at affiliated hospital systems can add substantially to the base service rates. University of Iowa Hospitals & Clinics is the primary academic referral center.

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 (3) report prices above $4,444, including Compass Memorial HealthCare at $6,350, 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 $852 versus $722 inpatient, 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 ~$858
Deductible met - 20% coinsurance ~$172
Out-of-network provider $1,888+

Frequently asked questions: prostate biopsy costs in Iowa

How much does a prostate biopsy cost in Iowa?

The typical insurer-negotiated rate is $460, with most facilities between $134 and $935 (based on 39 hospitals reporting negotiated rates). Posted cash prices at the middle 80% of Iowa hospitals run $443–$2,598; 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 Iowa?

Based on declared prices, the lowest posted price in our Iowa data is Regional Medical Center in Manchester at about $443. By metro, Iowa City has the lowest median ($831).

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

Typical prices vary about 7× (25th to 70th percentile of negotiated rates) because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In Iowa, the median cash (self-pay) price is $852 versus a median negotiated rate of $1,024 - 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 Iowa?

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 Iowa

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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