CostKits Healthcare, Organized
Login
Home Tools Procedure Costs Learn
Reviewed by John Caruso, FSA, MAAA • Data last updated

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

What does a prostate biopsy cost in Massachusetts?

Where you have a prostate biopsy done in Massachusetts swings the bill from $958 to $2,624 for identical care. The median cash price across 32 reporting hospitals is $1,915. 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 Massachusetts, from hospital price files

  • Brigham and Women's Hospital $513
  • Saint Anne's Hospital, Lifespan of Massachusetts - Fall River Inc · Fall River, MA $750
  • Emerson Hospital · Concord, MA $915

All 32 facilities are listed below, free.

Where prostate biopsy costs vary in Massachusetts

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

Free for patients - takes 30 seconds to get.

We'll send a sign-in link to your email - click it to get your guide. No account required, no spam.

Cheapest Prostate Biopsy Providers in Massachusetts

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

# Facility City Price vs median ($1,915)
1 Brigham and Women's Hospital MA $513 $1,402 below
2 Saint Anne's Hospital, Lifespan of Massachusetts - Fall River Inc Fall River, MA $750 $1,165 below
3 Emerson Hospital Concord, MA $915 $1,000 below
4 Falmouth Hospital Falmouth, MA $926 $989 below
5 ATHOL MEMORIAL HOSPITAL INCORPORATED Athol, MA $948 $967 below
6 South Shore Hospital South Weymouth, MA $967 $948 below
7 Anna Jaques Hospital Newburyport, MA $1,135 $780 below
8 UMass Memorial Health - Milford Regional Medical Center, Inc. Milford, MA $1,176 $739 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

  • Brigham and Women's Hospital is the lowest-cost option at $513 - $1,402 below the median posted price ($1,915), just by choosing where you go.
  • Ask for the cash price if your deductible isn't met - the median cash price here is $1,716, 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 Massachusetts, October 2026
CoverageHospitals with a rateTypical rangeMedian
Medicare (national rate)—$240 to $240$240
With insurance (commercial, average)15$1,631 to $6,315$2,674
Without insurance (cash price)34$438 to $2,994$1,716
Blue Cross Blue Shield of Massachusetts8$2,042 to $4,337$3,339
Cigna8$1,444 to $4,951$2,252
UnitedHealthcare6$714 to $4,180$2,580
Aetna3$2,799 to $8,580$3,399

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 Massachusetts?

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 Massachusetts?

Across 15 Massachusetts hospitals, the negotiated rates commercial insurers pay for prostate biopsy average $1,631 to $6,315 per hospital, with a median near $2,674. 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 Massachusetts?

Cash (self-pay) prices for prostate biopsy at 34 Massachusetts hospitals range from $438 to $2,994, with a median of $1,716. 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 Blue Cross Blue Shield of Massachusetts?

Blue Cross Blue Shield of Massachusetts negotiated rates for prostate biopsy at 8 Massachusetts hospitals range from $2,042 to $4,337, with a median near $3,339. 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 Cigna in Massachusetts?

Cigna negotiated rates for prostate biopsy at 8 Massachusetts hospitals range from $1,444 to $4,951, with a median near $2,252. 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 Massachusetts?

UnitedHealthcare negotiated rates for prostate biopsy at 6 Massachusetts hospitals range from $714 to $4,180, with a median near $2,580. 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 Massachusetts?

Aetna negotiated rates for prostate biopsy at 3 Massachusetts hospitals range from $2,799 to $8,580, with a median near $3,399. 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 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
$509–$26,148
  • Facility fee $320–$25,644
  • Professional fee $189–$504

Estimated from CMS fee schedules + commercial rate multipliers

Hospital Inpatient
$660–$3,504
  • Facility fee $471–$3,000
  • Professional fee $189–$504

Estimated from CMS fee schedules + commercial rate multipliers

Massachusetts has the highest commercial hospital reimbursement rates in the country, driven by extreme labor costs, the dominance of Mass General Brigham (Partners HealthCare), and a regulatory environment that has struggled to contain negotiated rate growth. The state has enacted multiple price transparency and rate growth laws aimed at curbing this pattern. Self-pay cash discounts in Massachusetts tend to be proportionally larger than in other high-cost states.

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 (5) report prices above $5,443, including UMass Memorial Health - Harrington Hospital, Inc. at $11,990, 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 $1,915 versus $2,925 inpatient (about 1.5× more), 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 ~$1,915
Deductible met - 20% coinsurance ~$383
Out-of-network provider $4,213+

Frequently asked questions: prostate biopsy costs in Massachusetts

How much does a prostate biopsy cost in Massachusetts?

The typical insurer-negotiated rate is $870, with most facilities between $411 and $1,452 (based on 32 hospitals reporting negotiated rates). Posted cash prices at the middle 80% of Massachusetts hospitals run $438–$2,994; 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 Massachusetts?

Based on declared prices, the lowest posted price in our Massachusetts data is Brigham and Women's Hospital at about $513. By metro, Boston has the lowest median ($2,893).

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

Typical prices vary about 3.5× (25th to 70th percentile of negotiated rates) because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In Massachusetts, the median cash (self-pay) price is $1,716 versus a median negotiated rate of $2,674 - 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 Massachusetts?

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 Massachusetts

Prostate Biopsy, elsewhere

CostKits compiles hospital price transparency data to help families make informed decisions. Track and manage your healthcare costs (free account).

Other Procedure Costs in Massachusetts

Urology and women's health

Imaging and scans

Heart and cardiac tests

Sleep and breathing tests

Scopes and screening

Bone, joint and pain

General surgery

Lab tests

Ear, nose and throat

Eye care

Infusions

Emergency care

Interested in understanding healthcare costs and managing your medical expenses?

About the Author

John Caruso, FSA, MAAA

Healthcare actuary with 20+ years of experience in insurance pricing, medical billing systems, and healthcare cost analytics.

Connect on LinkedIn →

Ready to take control of your healthcare costs?

Use the free cost estimator →  ·  Get your bill screened for free →  ·  See the family plan →

Published October 29, 2026 · Updated October 29, 2026

Track Your Healthcare Costs

Create a free account to save procedures, compare prices, and analyze future medical bills.