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

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

What does a prostate biopsy cost in Maine?

Where you have a prostate biopsy done in Maine swings the bill from $364 to $1,580 for identical care. The median cash price across 25 reporting hospitals is $734. The numbers are pulled directly from federally mandated hospital price transparency files. The sections below break this down by coverage and by insurer.

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

  • The Aroostook Medical Center $364
  • Sebasticook Valley Health · Pittsfield, ME $364
  • Blue Hill Memorial Hospital $364

All 25 facilities are listed below, free.

Where prostate biopsy costs vary in Maine

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 Maine

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

# Facility City Price vs median ($734)
1 The Aroostook Medical Center ME $364 $370 below
2 Sebasticook Valley Health Pittsfield, ME $364 $370 below
3 Blue Hill Memorial Hospital ME $364 $370 below
4 Mercy Hospital Portland, ME $364 $370 below
5 Acadia Hospital Bangor, ME $364 $370 below
6 Eastern Maine Medical Center ME $364 $370 below
7 Charles A. Dean Memorial Hospital ME $364 $370 below
8 Maine Coast Regional Health Facilities Ellsworth, ME $364 $370 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

  • The Aroostook Medical Center is the lowest-cost option at $364 - $370 below the median posted price ($734), just by choosing where you go.
  • Ask for the cash price if your deductible isn't met - the median cash price here is $582, 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 Maine, October 2026
CoverageHospitals with a rateTypical rangeMedian
Medicare (national rate)—$240 to $240$240
With insurance (commercial, average)21$190 to $3,661$394
Without insurance (cash price)25$349 to $2,345$582
Anthem Blue Cross and Blue Shield18$186 to $9,759$312
Aetna18$141 to $1,606$289
Cigna17$302 to $1,904$389
UnitedHealthcare15$137 to $2,039$202

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 Maine?

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 Maine?

Across 21 Maine hospitals, the negotiated rates commercial insurers pay for prostate biopsy average $190 to $3,661 per hospital, with a median near $394. 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 Maine?

Cash (self-pay) prices for prostate biopsy at 25 Maine hospitals range from $349 to $2,345, with a median of $582. 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 Maine?

Anthem Blue Cross and Blue Shield negotiated rates for prostate biopsy at 18 Maine hospitals range from $186 to $9,759, with a median near $312. 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 Maine?

Aetna negotiated rates for prostate biopsy at 18 Maine hospitals range from $141 to $1,606, with a median near $289. 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 Maine?

Cigna negotiated rates for prostate biopsy at 17 Maine hospitals range from $302 to $1,904, with a median near $389. 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 Maine?

UnitedHealthcare negotiated rates for prostate biopsy at 15 Maine hospitals range from $137 to $2,039, with a median near $202. 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
$498–$9,928
  • Facility fee $309–$9,424
  • Professional fee $189–$504

Estimated from CMS fee schedules + commercial rate multipliers

Hospital Inpatient
$498–$1,854
  • Facility fee $309–$1,350
  • Professional fee $189–$504

Estimated from CMS fee schedules + commercial rate multipliers

MaineHealth is the dominant system and covers most of Maine's hospital capacity, creating a largely non-competitive market outside Portland. Maine's extensive rural hospital network includes many critical access facilities where cost-based Medicare reimbursement applies. Northern Maine is one of the most medically isolated regions in the Eastern US.

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Why prices vary - and what it means for your coverage

A small number of hospitals (2) report prices above $3,984, including St Mary's Regional Medical Center at $3,998, 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 $734 versus $658 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 ~$734
Deductible met - 20% coinsurance ~$147
Out-of-network provider $1,615+

Frequently asked questions: prostate biopsy costs in Maine

How much does a prostate biopsy cost in Maine?

The typical insurer-negotiated rate is $354, with most facilities between $118 and $1,386 (based on 25 hospitals reporting negotiated rates). Posted cash prices at the middle 80% of Maine hospitals run $349–$2,345; 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 Maine?

Based on declared prices, the lowest posted price in our Maine data is The Aroostook Medical Center at about $364. By metro, Portland has the lowest median ($1,002).

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

Typical prices vary about 11.7× (25th to 70th percentile of negotiated rates) because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In Maine, the median cash (self-pay) price is $582 versus a median negotiated rate of $394 - about 1.5× higher. 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 Maine?

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 Maine

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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