Prostate Biopsy Cost in Oregon (2026): Average Prices & What You'll Pay
What does a prostate biopsy cost in Oregon?
Where you have a prostate biopsy done in Oregon swings the bill from $1,637 to $4,507 for identical care. The median cash price across 23 reporting hospitals is $4,275. 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 Oregon, from hospital price files
- KAISER FOUNDATION HOSPITAL - WESTSIDE $1,625
- KAISER SUNNYSIDE MEDICAL CENTER $1,625
- COMMONSPIRIT OREGON · Roseburg, OR $1,743
All 23 facilities are listed below, free.
Where prostate biopsy costs vary in Oregon
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.
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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- ✓ Guidance method: Ultrasound-guided and MRI-guided biopsies are priced differently, and MRI fusion biopsies tend to cost more.
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- ✓ 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 Oregon
Based on declared cash/self-pay prices from CMS hospital price transparency files.
| # | Facility | City | Price | vs median ($4,275) |
|---|---|---|---|---|
| 1 | KAISER FOUNDATION HOSPITAL - WESTSIDE | OR | $1,625 | $2,650 below |
| 2 | KAISER SUNNYSIDE MEDICAL CENTER | OR | $1,625 | $2,650 below |
| 3 | COMMONSPIRIT OREGON | Roseburg, OR | $1,743 | $2,532 below |
| 4 | Sky Lakes Medical Center | Klamath Falls, OR | $1,951 | $2,324 below |
| 5 | COMMONSPIRIT OREGON | Pendleton, OR | $2,738 | $1,537 below |
| 6 | Legacy Silverton Medical Center | Silverton, OR | $4,023 | $252 below |
| 7 | Legacy Good Samaritan Medical Center | W121, OR | $4,275 | $0 above |
| 8 | Legacy Meridian Park Medical Center | Tualatin, OR | $4,275 | $0 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
- Is this the self-pay price, and does it include the doctor, anesthesia and any lab or pathology? Those are often billed separately.
- Can you give me the price in writing, with the billing codes it covers?
- 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
- KAISER FOUNDATION HOSPITAL - WESTSIDE is the lowest-cost option at $1,625 - $2,650 below the median posted price ($4,275), just by choosing where you go.
- Ask for the cash price if your deductible isn't met - the median cash price here is $4,275, 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.
| Coverage | Hospitals with a rate | Typical range | Median |
|---|---|---|---|
| Medicare (national rate) | — | $240 to $240 | $240 |
| With insurance (commercial, average) | 18 | $4,238 to $8,383 | $5,779 |
| Without insurance (cash price) | 28 | $472 to $5,726 | $4,275 |
| Regence BlueCross BlueShield of Oregon | 16 | $3,620 to $7,368 | $5,393 |
| Cigna | 13 | $2,763 to $13,592 | $5,439 |
| UnitedHealthcare | 11 | $5,934 to $7,385 | $7,385 |
| Aetna | 9 | $3,172 to $6,073 | $6,073 |
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 Oregon?
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 Oregon?
Across 18 Oregon hospitals, the negotiated rates commercial insurers pay for prostate biopsy average $4,238 to $8,383 per hospital, with a median near $5,779. 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 Oregon?
Cash (self-pay) prices for prostate biopsy at 28 Oregon hospitals range from $472 to $5,726, with a median of $4,275. 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 Regence BlueCross BlueShield of Oregon?
Regence BlueCross BlueShield of Oregon negotiated rates for prostate biopsy at 16 Oregon hospitals range from $3,620 to $7,368, with a median near $5,393. 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 Oregon?
Cigna negotiated rates for prostate biopsy at 13 Oregon hospitals range from $2,763 to $13,592, with a median near $5,439. 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 Oregon?
UnitedHealthcare negotiated rates for prostate biopsy at 11 Oregon hospitals range from $5,934 to $7,385, with a median near $7,385. 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 Oregon?
Aetna negotiated rates for prostate biopsy at 9 Oregon hospitals range from $3,172 to $6,073, with a median near $6,073. 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.
- Facility fee $359–$7,326
- Professional fee $189–$504
Estimated from CMS fee schedules + commercial rate multipliers
- Facility fee $370–$5,609
- Professional fee $189–$504
Estimated from CMS fee schedules + commercial rate multipliers
Oregon Health & Science University (OHSU) anchors the academic tier and the Portland market. Providence Health and Legacy Health compete for commercial volume in Portland, while PeaceHealth covers the southern coast and Eugene corridor. Oregon passed aggressive price transparency legislation, and its hospital-reported data is among the most complete in the West.
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
Setting matters too: the median outpatient price is $4,275 versus $1,625 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 | ~$4,275 |
| Deductible met - 20% coinsurance | ~$855 |
| Out-of-network provider | $9,405+ |
Frequently asked questions: prostate biopsy costs in Oregon
How much does a prostate biopsy cost in Oregon?
The typical insurer-negotiated rate is $4,023, with most facilities between $1,339 and $4,275 (based on 23 hospitals reporting negotiated rates). Posted cash prices at the middle 80% of Oregon hospitals run $472–$5,726; 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 Oregon?
Based on declared prices, the lowest posted price in our Oregon data is KAISER FOUNDATION HOSPITAL - WESTSIDE at about $1,625. By metro, W121 has the lowest median ($4,275).
Why is a prostate biopsy so much cheaper at some Oregon hospitals?
Typical prices vary about 3.2× (25th to 70th percentile of negotiated rates) because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In Oregon, the median cash (self-pay) price is $4,275 versus a median negotiated rate of $5,779 - 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 Oregon?
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
- Allowed amount vs negotiated rate: what your EOB is really saying
- How to read your medical bill
- Deductible vs out-of-pocket max
- Already have a bill? Check it for errors
- How to read a Medicare Summary Notice
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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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