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

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

What does a prostate biopsy cost in West Virginia?

Where you have a prostate biopsy done in West Virginia swings the bill from $894 to $2,495 for identical care. The median cash price across 20 reporting hospitals is $1,730. The numbers are pulled directly from federally mandated hospital price transparency files. 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 West 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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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 West Virginia

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

# Facility City Price vs median ($1,730)
1 Greenbrier Valley Medical Center Ronceverte, WV $595 $1,135 below
2 Charleston Area Medical Center Charleston, WV $883 $847 below
3 Mon Health Medical Center WV $899 $831 below
4 Marion Neighborhood Hospital White Hall, WV $899 $831 below
5 Wheeling Hospital, Inc. Wheeling, WV $1,079 $651 below
6 Community Health Association Ripley, WV $1,633 $97 below
7 Reynolds Memorial Hospital, Inc. Glen Dale, WV $1,826 $96 above
8 St. Marys Medical Center Huntington, WV $2,048 $318 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

  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

  • Greenbrier Valley Medical Center is the lowest-cost option at $595 - $1,135 below the median posted price ($1,730), just by choosing where you go.
  • Ask for the cash price if your deductible isn't met - the median cash price here is $1,826, 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 West Virginia, October 2026
CoverageHospitals with a rateTypical rangeMedian
Medicare (national rate)—$240 to $240$240
With insurance (commercial, average)15$207 to $870$207
Without insurance (cash price)19$358 to $3,868$1,826
Highmark Blue Cross Blue Shield West Virginia12$206 to $209$206
Cigna6$219 to $1,349$492
Aetna4$619 to $1,570$1,116
UnitedHealthcare4$136 to $3,492$725

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 West 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 West Virginia?

Across 15 West Virginia hospitals, the negotiated rates commercial insurers pay for prostate biopsy average $207 to $870 per hospital, with a median near $207. 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 West Virginia?

Cash (self-pay) prices for prostate biopsy at 19 West Virginia hospitals range from $358 to $3,868, with a median of $1,826. 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 West Virginia?

Highmark Blue Cross Blue Shield West Virginia negotiated rates for prostate biopsy at 12 West Virginia hospitals range from $206 to $209, with a median near $206. 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 West Virginia?

Cigna negotiated rates for prostate biopsy at 6 West Virginia hospitals range from $219 to $1,349, with a median near $492. 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 West Virginia?

Aetna negotiated rates for prostate biopsy at 4 West Virginia hospitals range from $619 to $1,570, with a median near $1,116. 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 West Virginia?

UnitedHealthcare negotiated rates for prostate biopsy at 4 West Virginia hospitals range from $136 to $3,492, with a median near $725. 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
$309–$8,005
  • Facility fee $120–$7,501
  • Professional fee $189–$504

Estimated from CMS fee schedules + commercial rate multipliers

Hospital Inpatient
$309–$862
  • Facility fee $120–$358
  • Professional fee $189–$504

Estimated from CMS fee schedules + commercial rate multipliers

WVU Medicine and CAMC (Charleston Area Medical Center) are the primary academic systems, with Thomas Health and Highmark's West Penn Allegheny network providing additional coverage. West Virginia has one of the lowest wage indices in the country, which depresses Medicare-adjusted rates significantly - but commercial rates don't always follow the same pattern. Many rural facilities are critical access hospitals.

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 (1) report prices above $5,878, including Raleigh General Hospital at $7,501, 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 $1,730 versus $358 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 ~$1,730
Deductible met - 20% coinsurance ~$346
Out-of-network provider $3,806+

Frequently asked questions: prostate biopsy costs in West Virginia

How much does a prostate biopsy cost in West Virginia?

The typical insurer-negotiated rate is $120, with most facilities between $91 and $204 (based on 19 hospitals reporting negotiated rates). Posted cash prices at the middle 80% of West Virginia hospitals run $358–$3,868; 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 West Virginia?

Based on declared prices, the lowest posted price in our West Virginia data is Greenbrier Valley Medical Center in Ronceverte at about $595. By metro, Huntington has the lowest median ($2,416).

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

Typical prices vary about 2.2× (25th to 70th percentile of negotiated rates) because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In West Virginia, the median cash (self-pay) price is $1,826 versus a median negotiated rate of $207 - about 8.8× higher. 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 West 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

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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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