Prostate Biopsy Cost in Tennessee (2026): Average Prices & What You'll Pay
What does a prostate biopsy cost in Tennessee?
The same prostate biopsy in Tennessee might cost you $630 at one facility and $1,185 at another - the building you walk into drives the difference. The median cash price across 72 reporting hospitals is $761. 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 Tennessee, from hospital price files
- TRISTAR HORIZON MEDICAL CENTER · Dickson, TN $315
- Shelby County Health Care Corporation · Memphis, TN $342
- Hancock County Hospital · Sneedville, TN $382
All 72 facilities are listed below, free.
Where prostate biopsy costs vary in Tennessee
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.
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 Tennessee
Based on declared cash/self-pay prices from CMS hospital price transparency files.
| # | Facility | City | Price | vs median ($761) |
|---|---|---|---|---|
| 1 | TRISTAR HORIZON MEDICAL CENTER | Dickson, TN | $315 | $446 below |
| 2 | Shelby County Health Care Corporation | Memphis, TN | $342 | $419 below |
| 3 | Hancock County Hospital | Sneedville, TN | $382 | $379 below |
| 4 | Johnson City Medical Center | Johnson City, TN | $390 | $371 below |
| 5 | Sycamore Shoals Hospital | Elizabethton, TN | $390 | $371 below |
| 6 | Franklin Woods Community Hospital | Johnson City, TN | $390 | $371 below |
| 7 | Hawkins County Memorial Hospital | Rogersville, TN | $390 | $371 below |
| 8 | Holston Valley Medical Center | Kingsport, TN | $390 | $371 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
- 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
- TRISTAR HORIZON MEDICAL CENTER is the lowest-cost option at $315 - $446 below the median posted price ($761), just by choosing where you go.
- Ask for the cash price if your deductible isn't met - the median cash price here is $770, 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) | 51 | $1,190 to $2,260 | $1,840 |
| Without insurance (cash price) | 70 | $390 to $2,204 | $770 |
| BlueCross BlueShield of Tennessee | 38 | $825 to $2,512 | $1,575 |
| Cigna | 45 | $802 to $3,536 | $1,826 |
| UnitedHealthcare | 22 | $703 to $2,756 | $2,242 |
| Aetna | 19 | $440 to $2,452 | $1,808 |
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 Tennessee?
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 Tennessee?
Across 51 Tennessee hospitals, the negotiated rates commercial insurers pay for prostate biopsy average $1,190 to $2,260 per hospital, with a median near $1,840. 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 Tennessee?
Cash (self-pay) prices for prostate biopsy at 70 Tennessee hospitals range from $390 to $2,204, with a median of $770. 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 BlueCross BlueShield of Tennessee?
BlueCross BlueShield of Tennessee negotiated rates for prostate biopsy at 38 Tennessee hospitals range from $825 to $2,512, with a median near $1,575. 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 Tennessee?
Cigna negotiated rates for prostate biopsy at 45 Tennessee hospitals range from $802 to $3,536, with a median near $1,826. 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 Tennessee?
UnitedHealthcare negotiated rates for prostate biopsy at 22 Tennessee hospitals range from $703 to $2,756, with a median near $2,242. 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 Tennessee?
Aetna negotiated rates for prostate biopsy at 19 Tennessee hospitals range from $440 to $2,452, with a median near $1,808. 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 $107–$3,940
- Professional fee $189–$504
Estimated from CMS fee schedules + commercial rate multipliers
- Facility fee $382–$3,211
- Professional fee $189–$504
Estimated from CMS fee schedules + commercial rate multipliers
HCA Healthcare, headquartered in Nashville, has significant hospital presence in its home state, creating pricing patterns more aligned with for-profit hospital economics than nonprofit systems in comparable markets. Vanderbilt University Medical Center anchors the Nashville academic tier. Tennessee has not expanded Medicaid under the ACA, maintaining a high uninsured rate that influences facility pricing structures.
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 (7) report prices above $2,199, including Vanderbilt Coffee Hospital, LLC at $3,940, 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 $731 versus $510 inpatient, so where a procedure happens often matters more than which hospital you pick.
None of the prices above are what you'll necessarily owe: your deductible, out-of-pocket maximum, and each provider's network status all still apply.
| Your situation | Estimated out-of-pocket |
|---|---|
| Deductible not yet met | ~$761 |
| Deductible met - 20% coinsurance | ~$152 |
| Out-of-network provider | $1,674+ |
Frequently asked questions: prostate biopsy costs in Tennessee
How much does a prostate biopsy cost in Tennessee?
The typical insurer-negotiated rate is $688, with most facilities between $169 and $901 (based on 72 hospitals reporting negotiated rates). Posted cash prices at the middle 80% of Tennessee hospitals run $390–$2,204; 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 Tennessee?
Based on declared prices, the lowest posted price in our Tennessee data is TRISTAR HORIZON MEDICAL CENTER in Dickson at about $315. By metro, Johnson City has the lowest median ($390).
Why is a prostate biopsy so much cheaper at some Tennessee hospitals?
Typical prices vary about 5.3× (25th to 70th percentile of negotiated rates) because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In Tennessee, the median cash (self-pay) price is $770 versus a median negotiated rate of $1,840 - 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 Tennessee?
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
- How to read your medical bill
- How to stop medical bill problems before they start
- How to negotiate your medical bills
- Allowed amount vs negotiated rate: what your EOB is really saying
- How to read a Medicare Summary Notice
Other procedures in Tennessee
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 Tennessee
Urology and women's health
- Childbirth Cost in Tennessee
- Childbirth Cost in Tennessee
- Cystoscopy Cost in Tennessee
- D&C (Dilation and Curettage) Cost in Tennessee
- Hysterectomy Cost in Tennessee
- Hysterectomy Cost in Tennessee
- Hysteroscopy Cost in Tennessee
- Ovarian Cyst Removal Cost in Tennessee
- Vasectomy Cost in Tennessee
Imaging and scans
- Bone Density Test Cost in Tennessee
- CT Abdomen Cost in Tennessee
- CT Abdomen Cost in Tennessee
- CT Chest Cost in Tennessee
- CT Head Cost in Tennessee
- CT Scan Cost in Tennessee
- Doppler Ultrasound Cost in Tennessee
- Mammogram Cost in Tennessee
- MRI Brain Cost in Tennessee
- MRI Knee Cost in Tennessee
- MRI Cost in Tennessee
- PET Scan Cost in Tennessee
- Ultrasound Cost in Tennessee
- Xray Cost in Tennessee
Heart and cardiac tests
- Echocardiogram Cost in Tennessee
- Heart Catheterization Cost in Tennessee
- Nuclear Stress Test Cost in Tennessee
- Pacemaker Surgery Cost in Tennessee
- Treadmill Stress Test Cost in Tennessee
Sleep and breathing tests
- Home Sleep Test Cost in Tennessee
- Pulmonary Function Test Cost in Tennessee
- Sleep Study Cost in Tennessee
Scopes and screening
Bone, joint and pain
- ACL Surgery Cost in Tennessee
- Bunion Surgery Cost in Tennessee
- Carpal Tunnel Surgery Cost in Tennessee
- Cortisone Shot Cost in Tennessee
- Epidural Steroid Injection Cost in Tennessee
- Facet Joint Injection Cost in Tennessee
- Hip Replacement Cost in Tennessee
- Hip Replacement Cost in Tennessee
- Knee Arthroscopy Cost in Tennessee
- Knee Replacement Cost in Tennessee
- Knee Replacement Cost in Tennessee
- Physical Therapy Cost in Tennessee
- Rotator Cuff Surgery Cost in Tennessee
- Spinal Fusion Cost in Tennessee
- Spinal Fusion Cost in Tennessee
General surgery
- Appendectomy Cost in Tennessee
- Appendectomy Cost in Tennessee
- Breast Biopsy Cost in Tennessee
- Cholecystectomy Cost in Tennessee
- Cholecystectomy Cost in Tennessee
- Hernia Repair Cost in Tennessee
Lab tests
- A1C Test Cost in Tennessee
- CBC Blood Test Cost in Tennessee
- Cholesterol Test Cost in Tennessee
- Metabolic Panel Cost in Tennessee
- Thyroid Test (TSH) Cost in Tennessee
Ear, nose and throat
- Deviated Septum Surgery Cost in Tennessee
- Ear Tube Surgery Cost in Tennessee
- Hearing Test Cost in Tennessee
- Sinus Surgery Cost in Tennessee
- Tonsillectomy Cost in Tennessee
Eye care
- Cataract Surgery Cost in Tennessee
- Eye Injection Cost in Tennessee
- Glaucoma Laser Surgery Cost in Tennessee
- YAG Laser Surgery Cost in Tennessee
Infusions
Emergency care
Related Articles
Interested in understanding healthcare costs and managing your medical expenses?
- Free Cost EstimatorCalculate your exact out-of-pocket cost for any procedure
- Free Bill ScreenerCheck whether your bill and paperwork are ready for a professional review
- Family Bill TrackerTrack costs across every family member and every bill in one place
- Prostate Biopsy Cost GuideCompare Prostate Biopsy prices across all 50 states
- Deductible vs Out-of-Pocket MaximumLearn how insurance cost-sharing works and what you actually pay
- Cost ExplorerBrowse procedures and compare prices across the country
- Hysteroscopy Cost GuideCompare Hysteroscopy prices across all 50 states
- Ovarian Cyst Removal Cost GuideCompare Ovarian Cyst Removal prices across all 50 states
- Cystoscopy Cost GuideCompare Cystoscopy prices across all 50 states
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 →