Prostate Biopsy Cost in Virginia (2026): Average Prices & What You'll Pay
What does a prostate biopsy cost in Virginia?
You could pay $2,377 or $4,564 for the same prostate biopsy in Virginia - depending entirely on which facility you choose. The median cash price across 54 reporting hospitals is $3,007. This data comes directly from hospital price transparency files published under federal law. The sections below break this down by coverage and by insurer.
Once you have a bill or an appointment on the calendar, CostKits can help you keep it all organized.
Where prostate biopsy costs vary in Virginia
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.
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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 Virginia
Based on declared cash/self-pay prices from CMS hospital price transparency files.
| # | Facility | City | Price | vs median ($3,007) |
|---|---|---|---|---|
| 1 | PARHAM DOCTORS HOSPITAL | Richmond, VA | $950 | $2,057 below |
| 2 | RETREAT DOCTORS HOSPITAL | Richmond, VA | $950 | $2,057 below |
| 3 | Riverside Hospital Inc | VA | $1,056 | $1,951 below |
| 4 | LEWISGALE MEDICAL CENTER | Roanoke, VA | $1,058 | $1,949 below |
| 5 | Centra Specialty Hospital | VA | $1,427 | $1,580 below |
| 6 | WINCHESTER MEDICAL CENTER, INC | Winchester, VA | $1,444 | $1,563 below |
| 7 | Sentara Martha Jefferson Hospital | Charlottesville, VA | $1,571 | $1,436 below |
| 8 | Chesapeake General Hospital | North, VA | $1,900 | $1,107 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
- PARHAM DOCTORS HOSPITAL is the lowest-cost option at $950 - $2,057 below the median posted price ($3,007), just by choosing where you go.
- Ask for the cash price if your deductible isn't met - the median cash price here is $3,007, 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) | 38 | $2,292 to $5,156 | $4,031 |
| Without insurance (cash price) | 57 | $950 to $6,326 | $3,007 |
| Anthem HealthKeepers | 20 | $1,728 to $3,603 | $2,992 |
| UnitedHealthcare | 23 | $1,333 to $5,255 | $3,791 |
| Cigna | 20 | $2,040 to $4,933 | $4,564 |
| Aetna | 15 | $1,798 to $8,718 | $3,708 |
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 Virginia?
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 Virginia?
Across 38 Virginia hospitals, the negotiated rates commercial insurers pay for prostate biopsy average $2,292 to $5,156 per hospital, with a median near $4,031. 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 Virginia?
Cash (self-pay) prices for prostate biopsy at 57 Virginia hospitals range from $950 to $6,326, with a median of $3,007. 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 Anthem HealthKeepers in Virginia?
Anthem HealthKeepers negotiated rates for prostate biopsy at 20 Virginia hospitals range from $1,728 to $3,603, with a median near $2,992. 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 UnitedHealthcare in Virginia?
UnitedHealthcare negotiated rates for prostate biopsy at 23 Virginia hospitals range from $1,333 to $5,255, with a median near $3,791. 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 Virginia?
Cigna negotiated rates for prostate biopsy at 20 Virginia hospitals range from $2,040 to $4,933, with a median near $4,564. 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 Virginia?
Aetna negotiated rates for prostate biopsy at 15 Virginia hospitals range from $1,798 to $8,718, with a median near $3,708. 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 $390–$12,316
- Professional fee $189–$504
Estimated from CMS fee schedules + commercial rate multipliers
- Facility fee $339–$3,094
- Professional fee $189–$504
Estimated from CMS fee schedules + commercial rate multipliers
Inova Health System dominates Northern Virginia with pricing that reflects DC-metro labor costs - among the highest in the Mid-Atlantic. Sentara Healthcare and Carilion Clinic cover the Tidewater and Southwest Virginia markets respectively. Northern Virginia facilities typically price 20–30% above the state average due to proximity to the DC labor market.
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Why prices vary - and what it means for your coverage
A small number of hospitals (3) report prices above $8,092, including MARYVIEW HOSPITAL LLC at $12,316, 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 $3,050 versus $390 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 | ~$3,007 |
| Deductible met - 20% coinsurance | ~$601 |
| Out-of-network provider | $6,615+ |
Frequently asked questions: prostate biopsy costs in Virginia
How much does a prostate biopsy cost in Virginia?
The typical insurer-negotiated rate is $454, with most facilities between $184 and $2,462 (based on 49 hospitals reporting negotiated rates). Posted cash prices at the middle 80% of Virginia hospitals run $950–$6,326; 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 Virginia?
Based on declared prices, the lowest posted price in our Virginia data is PARHAM DOCTORS HOSPITAL in Richmond at about $950. By metro, Richmond has the lowest median ($1,664).
Why is a prostate biopsy so much cheaper at some Virginia hospitals?
Typical prices vary about 13.4× (25th to 70th percentile of negotiated rates) because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In Virginia, the median cash (self-pay) price is $3,007 versus a median negotiated rate of $4,031 - 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 Virginia?
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
- Deductible vs out-of-pocket max
- How to negotiate your medical bills
- EOB vs medical bill: complete guide
- Already have a bill? Check it for errors
- How to read an EOB line by line
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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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