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

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

What does a prostate biopsy cost in Wisconsin?

Where you have a prostate biopsy done in Wisconsin swings the bill from $673 to $1,948 for identical care. The median cash price across 106 reporting hospitals is $923. 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 Wisconsin

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.
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Cheapest Prostate Biopsy Providers in Wisconsin

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

# Facility City Price vs median ($923)
1 Columbia St. Mary's Hospital Ozaukee, Inc. WI $358 $565 below
2 Columbia St. Mary's Hospital Milwaukee, Inc. WI $358 $565 below
3 Ascension St. Francis Hospital, Inc. WI $358 $565 below
4 Ascension SE Wisconsin Hospital, Inc. WI $358 $565 below
5 Wheaton Franciscan Healthcare - Southeast Wisconsin Inc WI $358 $565 below
6 Ascension All Saints Hospital, Inc. WI $358 $565 below
7 Mayo Clinic Health System WI $371 $552 below
8 Mayo Clinic Health System WI $379 $544 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

  • Columbia St. Mary's Hospital Ozaukee, Inc. is the lowest-cost option at $358 - $565 below the median posted price ($923), just by choosing where you go.
  • Ask for the cash price if your deductible isn't met - the median cash price here is $923, 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 Wisconsin, October 2026
CoverageHospitals with a rateTypical rangeMedian
Medicare (national rate)—$240 to $240$240
With insurance (commercial, average)65$789 to $4,514$2,727
Without insurance (cash price)107$376 to $2,930$923
Anthem Blue Cross and Blue Shield41$398 to $5,342$2,036
UnitedHealthcare43$988 to $3,399$2,405
Cigna34$2,523 to $6,800$3,492
Aetna23$2,111 to $3,119$2,111

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 Wisconsin?

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 Wisconsin?

Across 65 Wisconsin hospitals, the negotiated rates commercial insurers pay for prostate biopsy average $789 to $4,514 per hospital, with a median near $2,727. 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 Wisconsin?

Cash (self-pay) prices for prostate biopsy at 107 Wisconsin hospitals range from $376 to $2,930, with a median of $923. 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 Blue Cross and Blue Shield in Wisconsin?

Anthem Blue Cross and Blue Shield negotiated rates for prostate biopsy at 41 Wisconsin hospitals range from $398 to $5,342, with a median near $2,036. 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 Wisconsin?

UnitedHealthcare negotiated rates for prostate biopsy at 43 Wisconsin hospitals range from $988 to $3,399, with a median near $2,405. 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 Wisconsin?

Cigna negotiated rates for prostate biopsy at 34 Wisconsin hospitals range from $2,523 to $6,800, with a median near $3,492. 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 Wisconsin?

Aetna negotiated rates for prostate biopsy at 23 Wisconsin hospitals range from $2,111 to $3,119, with a median near $2,111. 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.

Hospital Outpatient
$235–$7,346
  • Facility fee $46–$6,842
  • Professional fee $189–$504

Estimated from CMS fee schedules + commercial rate multipliers

Hospital Inpatient
$626–$2,597
  • Facility fee $437–$2,093
  • Professional fee $189–$504

Estimated from CMS fee schedules + commercial rate multipliers

Advocate Aurora Health (formed in the Illinois-Wisconsin merger) and Ascension Wisconsin are the dominant systems in the Milwaukee market, while UW Health anchors the Madison market. Wisconsin's hospital market is moderately competitive in major metros but increasingly concentrated in rural areas. Prices tend to run near or slightly below the Midwest median.

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Why prices vary - and what it means for your coverage

A small number of hospitals (4) report prices above $4,000, including Children's Hospital of Wisconsin at $6,842, 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 $923 versus $923 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 ~$923
Deductible met - 20% coinsurance ~$185
Out-of-network provider $2,031+

Frequently asked questions: prostate biopsy costs in Wisconsin

How much does a prostate biopsy cost in Wisconsin?

The typical insurer-negotiated rate is $910, with most facilities between $222 and $1,762 (based on 96 hospitals reporting negotiated rates). Posted cash prices at the middle 80% of Wisconsin hospitals run $376–$2,930; 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 Wisconsin?

Based on declared prices, the lowest posted price in our Wisconsin data is Columbia St. Mary's Hospital Ozaukee, Inc. at about $358. By metro, Green Bay has the lowest median ($780).

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

Typical prices vary about 7.9× (25th to 70th percentile of negotiated rates) because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In Wisconsin, the median cash (self-pay) price is $923 versus a median negotiated rate of $2,727 - 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 Wisconsin?

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 Wisconsin

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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