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

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

What does a prostate biopsy cost in New Jersey?

The same prostate biopsy in New Jersey might cost you $2,178 at one facility and $2,869 at another - the building you walk into drives the difference. The median cash price across 50 reporting hospitals is $2,517. These figures come straight from hospital price transparency files published under federal law. The sections below break this down by coverage and by insurer.

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Where prostate biopsy costs vary in New Jersey

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 New Jersey

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

# Facility City Price vs median ($2,517)
1 St Josephs University Medical Center Inc Paterson, NJ $1,547 $970 below
2 Penn Medicine Princeton Medical Center Plainsboro, NJ $1,547 $970 below
3 AtlantiCare Health System NJ $1,666 $851 below
4 Robert Wood Johnson University Hospital Rahway Rahway, NJ $1,783 $734 below
5 Clara Maass Medical Center Belleville, NJ $1,950 $567 below
6 Cooper University Hospital Cape Regional Cape May Court House, NJ $2,000 $517 below
7 Newark Beth Israel Medical Center Newark, NJ $2,001 $516 below
8 Jersey City Medical Center Jersey City, NJ $2,222 $295 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

  • St Josephs University Medical Center Inc is the lowest-cost option at $1,547 - $970 below the median posted price ($2,517), just by choosing where you go.
  • Ask for the cash price if your deductible isn't met - the median cash price here is $2,517, 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 New Jersey, October 2026
CoverageHospitals with a rateTypical rangeMedian
Medicare (national rate)—$240 to $240$240
With insurance (commercial, average)41$2,239 to $7,619$3,451
Without insurance (cash price)54$360 to $4,543$2,517
Horizon Blue Cross Blue Shield of New Jersey36$1,190 to $8,654$3,056
Aetna35$1,737 to $8,155$2,720
UnitedHealthcare30$1,558 to $5,177$3,417
Cigna28$1,986 to $4,592$3,111

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 New Jersey?

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 New Jersey?

Across 41 New Jersey hospitals, the negotiated rates commercial insurers pay for prostate biopsy average $2,239 to $7,619 per hospital, with a median near $3,451. 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 New Jersey?

Cash (self-pay) prices for prostate biopsy at 54 New Jersey hospitals range from $360 to $4,543, with a median of $2,517. 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 Horizon Blue Cross Blue Shield of New Jersey?

Horizon Blue Cross Blue Shield of New Jersey negotiated rates for prostate biopsy at 36 New Jersey hospitals range from $1,190 to $8,654, with a median near $3,056. 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 New Jersey?

Aetna negotiated rates for prostate biopsy at 35 New Jersey hospitals range from $1,737 to $8,155, with a median near $2,720. 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 UnitedHealthcare in New Jersey?

UnitedHealthcare negotiated rates for prostate biopsy at 30 New Jersey hospitals range from $1,558 to $5,177, with a median near $3,417. 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 Cigna in New Jersey?

Cigna negotiated rates for prostate biopsy at 28 New Jersey hospitals range from $1,986 to $4,592, with a median near $3,111. 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
$497–$9,327
  • Facility fee $308–$8,823
  • Professional fee $189–$504

Estimated from CMS fee schedules + commercial rate multipliers

Hospital Inpatient
$2,387–$3,312
  • Facility fee $2,198–$2,808
  • Professional fee $189–$504

Estimated from CMS fee schedules + commercial rate multipliers

New Jersey has a dense hospital landscape with RWJBarnabas Health, Atlantic Health System, Hackensack Meridian Health, and others competing for commercial contracts - but high labor costs, real estate, and regulatory burden keep prices elevated despite the competition. Northern New Jersey facilities are influenced by New York City-adjacent wage indices, which are among the highest in the country.

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Why prices vary - and what it means for your coverage

A small number of hospitals (1) report prices above $6,632, including University Hospital at $8,823, 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 $2,543 versus $2,510 inpatient, 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 ~$2,517
Deductible met - 20% coinsurance ~$503
Out-of-network provider $5,537+

Frequently asked questions: prostate biopsy costs in New Jersey

How much does a prostate biopsy cost in New Jersey?

The typical insurer-negotiated rate is $253, with most facilities between $93 and $983 (based on 50 hospitals reporting negotiated rates). Posted cash prices at the middle 80% of New Jersey hospitals run $360–$4,543; 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 New Jersey?

Based on declared prices, the lowest posted price in our New Jersey data is St Josephs University Medical Center Inc in Paterson at about $1,547. By metro, Elizabeth has the lowest median ($4,568).

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

Typical prices vary about 10.6× (25th to 70th percentile of negotiated rates) because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In New Jersey, the median cash (self-pay) price is $2,517 versus a median negotiated rate of $3,451 - 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 New Jersey?

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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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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