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

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

What does a prostate biopsy cost in Maryland?

Where you have a prostate biopsy done in Maryland swings the bill from $334 to $1,267 for identical care. The median cash price across 10 reporting hospitals is $485. 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 Maryland, from hospital price files

  • MedStar Southern Hospital Center · Clinton, MD $312
  • MedStar St. Mary's Hospital $319
  • MedStar Good Samaritan Hospital · Baltimore, MD $334

All 10 facilities are listed below, free.

Where prostate biopsy costs vary in Maryland

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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Cheapest Prostate Biopsy Providers in Maryland

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

# Facility City Price vs median ($485)
1 MedStar Southern Hospital Center Clinton, MD $312 $173 below
2 MedStar St. Mary's Hospital MD $319 $166 below
3 MedStar Good Samaritan Hospital Baltimore, MD $334 $151 below
4 Levindale-Hebrew-Geriatric-Center-&-Hospital Baltimore, MD $430 $55 below
5 UM Shore Medical Center at Chestertown Chestertown, MD $485 $0 above
6 Atlantic General Hospital Berlin, MD $1,254 $769 above
7 St. Agnes Healthcare, Inc. MD $1,267 $782 above
8 The Johns Hopkins Hospital Baltimore, MD $1,658 $1,173 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

  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

  • MedStar Southern Hospital Center is the lowest-cost option at $312 - $173 below the median posted price ($485), just by choosing where you go.
  • Ask for the cash price if your deductible isn't met - the median cash price here is $458, 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 Maryland, October 2026
CoverageHospitals with a rateTypical rangeMedian
Medicare (national rate)—$240 to $240$240
Without insurance (cash price)10$312 to $1,658$458

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 Maryland?

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 without insurance in Maryland?

Cash (self-pay) prices for prostate biopsy at 10 Maryland hospitals range from $312 to $1,658, with a median of $458. 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 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
$499–$9,929
  • Facility fee $310–$9,425
  • Professional fee $189–$504

Estimated from CMS fee schedules + commercial rate multipliers

Hospital Inpatient
$499–$2,162
  • Facility fee $310–$1,658
  • Professional fee $189–$504

Estimated from CMS fee schedules + commercial rate multipliers

Maryland operates the nation's only all-payer hospital rate-setting system through the Health Services Cost Review Commission (HSCRC) - all payers, including Medicare, Medicaid, commercial, and self-pay, pay the same regulated rates at each facility. This makes Maryland's cash prices more meaningful than in other states, because the discounting common elsewhere is largely prohibited. Johns Hopkins Medicine and University of Maryland Medical System anchor the academic tier.

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Why prices vary - and what it means for your coverage

A small number of hospitals (1) report prices above $3,166, including The Johns Hopkins Hospital at $1,658, 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 $870 versus $458 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 ~$485
Deductible met - 20% coinsurance ~$97
Out-of-network provider $1,067+

Frequently asked questions: prostate biopsy costs in Maryland

How much does a prostate biopsy cost in Maryland?

The typical insurer-negotiated rate is $319, with most facilities between $260 and $364 (based on 7 hospitals reporting negotiated rates). Posted cash prices at the middle 80% of Maryland hospitals run $312–$1,658; 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 Maryland?

Based on declared prices, the lowest posted price in our Maryland data is MedStar Southern Hospital Center in Clinton at about $312. By metro, Baltimore has the lowest median ($430).

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

Typical prices vary about 1.4× (25th to 70th percentile of negotiated rates) because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In Maryland, the median cash (self-pay) price is $458 versus a median negotiated rate of $319 - about 1.4× 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 Maryland?

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 Maryland

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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