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

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

What does a prostate biopsy cost in North Carolina?

Where you have a prostate biopsy done in North Carolina swings the bill from $897 to $1,924 for identical care. The median cash price across 41 reporting hospitals is $965. The numbers are pulled directly from federally mandated hospital price transparency files. The sections below break this down by coverage and by insurer.

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Where prostate biopsy costs vary in North Carolina

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 North Carolina

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

# Facility City Price vs median ($965)
1 Wakemed Raleigh Campus Raleigh, NC $337 $628 below
2 WakeMed Cary Hospital Cary, NC $337 $628 below
3 Alleghany County Memorial Hospital, Inc NC $344 $621 below
4 Catawba Valley Medical Center Hickory, NC $351 $614 below
5 Caldwell Memorial Hospital Lenoir, NC $409 $556 below
6 Chatham Hospital Siler City, NC $493 $472 below
7 Granville Health System NC $538 $427 below
8 MURPHY MEDICAL CENTER INC Murphy, NC $686 $279 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

  • Wakemed Raleigh Campus is the lowest-cost option at $337 - $628 below the median posted price ($965), just by choosing where you go.
  • Ask for the cash price if your deductible isn't met - the median cash price here is $1,000, 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 North Carolina, October 2026
CoverageHospitals with a rateTypical rangeMedian
Medicare (national rate)—$240 to $240$240
With insurance (commercial, average)38$639 to $4,118$1,916
Without insurance (cash price)51$351 to $2,894$1,000
Blue Cross and Blue Shield of North Carolina23$301 to $2,167$663
Cigna26$811 to $4,609$1,160
Aetna25$547 to $4,384$920
UnitedHealthcare19$1,900 to $6,138$2,025

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 North Carolina?

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 North Carolina?

Across 38 North Carolina hospitals, the negotiated rates commercial insurers pay for prostate biopsy average $639 to $4,118 per hospital, with a median near $1,916. 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 North Carolina?

Cash (self-pay) prices for prostate biopsy at 51 North Carolina hospitals range from $351 to $2,894, with a median of $1,000. 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 and Blue Shield of North Carolina?

Blue Cross and Blue Shield of North Carolina negotiated rates for prostate biopsy at 23 North Carolina hospitals range from $301 to $2,167, with a median near $663. 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 North Carolina?

Cigna negotiated rates for prostate biopsy at 26 North Carolina hospitals range from $811 to $4,609, with a median near $1,160. 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 Aetna in North Carolina?

Aetna negotiated rates for prostate biopsy at 25 North Carolina hospitals range from $547 to $4,384, with a median near $920. 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 North Carolina?

UnitedHealthcare negotiated rates for prostate biopsy at 19 North Carolina hospitals range from $1,900 to $6,138, with a median near $2,025. 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
$237–$7,328
  • Facility fee $48–$6,824
  • Professional fee $189–$504

Estimated from CMS fee schedules + commercial rate multipliers

Hospital Inpatient
$1,209–$3,754
  • Facility fee $1,020–$3,250
  • Professional fee $189–$504

Estimated from CMS fee schedules + commercial rate multipliers

Atrium Health (formerly Carolinas HealthCare) and Wake Forest Baptist Health have merged into one of the largest nonprofit health systems in the Southeast. Duke Health and UNC Health anchor the Research Triangle academic tier, creating a market where major academic centers hold outsized pricing leverage. North Carolina has been an active target for FTC scrutiny of hospital consolidation.

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 (4) report prices above $3,672, including Gaston Memorial Hospital at $6,824, 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 $965 versus $1,020 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 ~$965
Deductible met - 20% coinsurance ~$193
Out-of-network provider $2,123+

Frequently asked questions: prostate biopsy costs in North Carolina

How much does a prostate biopsy cost in North Carolina?

The typical insurer-negotiated rate is $400, with most facilities between $204 and $898 (based on 41 hospitals reporting negotiated rates). Posted cash prices at the middle 80% of North Carolina hospitals run $351–$2,894; 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 North Carolina?

Based on declared prices, the lowest posted price in our North Carolina data is Wakemed Raleigh Campus in Raleigh at about $337. By metro, Charlotte has the lowest median ($897).

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

Typical prices vary about 4.4× (25th to 70th percentile of negotiated rates) because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In North Carolina, the median cash (self-pay) price is $1,000 versus a median negotiated rate of $1,916 - 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 North Carolina?

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 North Carolina

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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