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

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

What does a prostate biopsy cost in Pennsylvania?

The same prostate biopsy in Pennsylvania might cost you $472 at one facility and $1,406 at another - the building you walk into drives the difference. The median cash price across 86 reporting hospitals is $853. These figures come straight from hospital price transparency files published under federal law. The sections below break this down by coverage and by insurer.

Three low-priced facilities in Pennsylvania, from hospital price files

  • UPMC Magee-Womens Hospital · Pittsburgh, PA $308
  • UPMC Mercy · Pittsburgh, PA $308
  • UPMC Horizon - Greenville · Greenville, PA $308

All 86 facilities are listed below, free.

Where prostate biopsy costs vary in Pennsylvania

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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  • ✓ 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
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Cheapest Prostate Biopsy Providers in Pennsylvania

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

# Facility City Price vs median ($853)
1 UPMC Magee-Womens Hospital Pittsburgh, PA $308 $545 below
2 UPMC Mercy Pittsburgh, PA $308 $545 below
3 UPMC Horizon - Greenville Greenville, PA $308 $545 below
4 UPMC Bedford Everett, PA $308 $545 below
5 UPMC McKeesport Mckeesport, PA $308 $545 below
6 UPMC Jameson New Castle, PA $308 $545 below
7 UPMC East Monroeville, PA $308 $545 below
8 UPMC St Margaret Pittsburgh, PA $308 $545 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

  • UPMC Magee-Womens Hospital is the lowest-cost option at $308 - $545 below the median posted price ($853), just by choosing where you go.
  • Ask for the cash price if your deductible isn't met - the median cash price here is $875, 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 Pennsylvania, October 2026
CoverageHospitals with a rateTypical rangeMedian
Medicare (national rate)—$240 to $240$240
With insurance (commercial, average)60$571 to $3,814$1,783
Without insurance (cash price)88$309 to $3,683$875
Highmark Blue Cross Blue Shield45$175 to $3,616$1,394
Aetna42$395 to $6,689$3,532
UnitedHealthcare39$241 to $8,314$1,535
Cigna39$495 to $6,691$2,054

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 Pennsylvania?

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 Pennsylvania?

Across 60 Pennsylvania hospitals, the negotiated rates commercial insurers pay for prostate biopsy average $571 to $3,814 per hospital, with a median near $1,783. 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 Pennsylvania?

Cash (self-pay) prices for prostate biopsy at 88 Pennsylvania hospitals range from $309 to $3,683, with a median of $875. 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 Highmark Blue Cross Blue Shield in Pennsylvania?

Highmark Blue Cross Blue Shield negotiated rates for prostate biopsy at 45 Pennsylvania hospitals range from $175 to $3,616, with a median near $1,394. 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 Pennsylvania?

Aetna negotiated rates for prostate biopsy at 42 Pennsylvania hospitals range from $395 to $6,689, with a median near $3,532. 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 Pennsylvania?

UnitedHealthcare negotiated rates for prostate biopsy at 39 Pennsylvania hospitals range from $241 to $8,314, with a median near $1,535. 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 Pennsylvania?

Cigna negotiated rates for prostate biopsy at 39 Pennsylvania hospitals range from $495 to $6,691, with a median near $2,054. 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
$428–$8,372
  • Facility fee $239–$7,868
  • Professional fee $189–$504

Estimated from CMS fee schedules + commercial rate multipliers

Hospital Inpatient
$736–$8,239
  • Facility fee $547–$7,735
  • Professional fee $189–$504

Estimated from CMS fee schedules + commercial rate multipliers

Pennsylvania has a highly fragmented hospital market - Penn Medicine, Jefferson Health, Temple Health, and Tower Health compete in Philadelphia; UPMC and Highmark/Allegheny Health Network are engaged in one of the country's most litigated payer-provider disputes in Pittsburgh. The UPMC vs. Highmark conflict has directly affected patients' ability to use their insurance at in-network facilities. Rural Pennsylvania prices are substantially lower than the two major metro markets.

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 (3) report prices above $4,598, including Physicians Care Surgical Hospital at $7,868, 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 $853 versus $1,225 inpatient (about 1.4× more), 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 ~$853
Deductible met - 20% coinsurance ~$171
Out-of-network provider $1,877+

Frequently asked questions: prostate biopsy costs in Pennsylvania

How much does a prostate biopsy cost in Pennsylvania?

The typical insurer-negotiated rate is $128, with most facilities between $89 and $294 (based on 84 hospitals reporting negotiated rates). Posted cash prices at the middle 80% of Pennsylvania hospitals run $309–$3,683; 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 Pennsylvania?

Based on declared prices, the lowest posted price in our Pennsylvania data is UPMC Magee-Womens Hospital in Pittsburgh at about $308. By metro, Langhorne has the lowest median ($366).

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

Typical prices vary about 3.3× (25th to 70th percentile of negotiated rates) because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In Pennsylvania, the median cash (self-pay) price is $875 versus a median negotiated rate of $1,783 - 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 Pennsylvania?

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 Pennsylvania

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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