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Prostate biopsy in Massachusetts: what insurers pay

Posted commercial rates at 21 Massachusetts hospitals, each next to its own Medicare base rate.

Open in the explorerAll statesEvery bill for the whole procedure

CPT 55707

HospitalMedian across insurers× MedicareInsurersFile date
Lowell General Hospital Lowell$2,2430.5×42026-04-01
Brigham and Women's Faulkner Hospital Boston$2,3840.6×12026-03-27
Massachusetts General Hospital Boston$2,4320.6×12026-03-27
Signature Healthcare Brockton Hospital Brockton$3,3870.8×62026-01-28
Beth Israel Deaconess Hospital-Milton Inc Milton$3,8460.9×22026-04-01
Boston Medical Center-Brighton Brighton$3,9820.9×22026-03-13
Boston Medical Center-South Brockton$3,9820.9×22026-03-13
Holyoke Medical Center Holyoke$4,0571.0×112026-05-01
Tufts Medical Center Boston$4,1341.0×32026-04-01
Beverly Hospital Corporation Beverly$4,6361.1×52026-04-01
New England Baptist Hospital Boston$4,6501.1×42026-04-01
Umass Memorial Medical Center Inc Worcester$4,7711.1×12026-03-26
Anna Jaques Hospital Newburyport$6,2041.5×32026-04-01
Winchester Hospital Winchester$6,4271.5×32026-04-01
Mount Auburn Hospital Cambridge$6,6671.6×22026-04-01
Beth Israel Deaconess Hospital - Plymouth Plymouth$6,8941.6×22026-04-01
Beth Israel Deaconess Hospital - Needham Needham$7,1591.7×32026-04-01
Mercy Medical Ctr Springfield$7,5561.8×102026-03-31
Lahey Hospital & Medical Center, Burlington Burlington$7,7431.8×22026-04-01
Beth Israel Deaconess Medical Center Boston$8,0191.9×32026-04-01

CPT 55709

HospitalMedian across insurers× MedicareInsurersFile date
Beth Israel Deaconess Hospital-Milton Inc Milton$3,8460.9×22026-04-01
Boston Medical Center-Brighton Brighton$3,9820.9×22026-03-13
Boston Medical Center-South Brockton$3,9820.9×22026-03-13
New England Baptist Hospital Boston$4,6111.1×32026-04-01
Beverly Hospital Corporation Beverly$5,8971.4×22026-04-01
Anna Jaques Hospital Newburyport$6,2041.5×22026-04-01
Winchester Hospital Winchester$6,4271.5×32026-04-01
Mount Auburn Hospital Cambridge$6,6671.6×22026-04-01
Beth Israel Deaconess Hospital - Plymouth Plymouth$6,8941.6×22026-04-01
Beth Israel Deaconess Hospital - Needham Needham$7,1591.7×22026-04-01
Lahey Hospital & Medical Center, Burlington Burlington$7,7431.8×22026-04-01
Beth Israel Deaconess Medical Center Boston$8,0191.9×22026-04-01

CPT 55705

HospitalMedian across insurers× MedicareInsurersFile date
Beth Israel Deaconess Hospital-Milton Inc Milton$2,4280.6×22026-04-01
Beverly Hospital Corporation Beverly$3,1940.8×52026-04-01
Mount Auburn Hospital Cambridge$3,6400.9×22026-04-01
New England Baptist Hospital Boston$3,6600.9×42026-04-01
Signature Healthcare Brockton Hospital Brockton$3,7000.9×62026-01-28
Beth Israel Deaconess Hospital - Plymouth Plymouth$3,7820.9×22026-04-01
Winchester Hospital Winchester$3,8200.9×32026-04-01
Beth Israel Deaconess Hospital - Needham Needham$3,9380.9×32026-04-01
Lahey Hospital & Medical Center, Burlington Burlington$4,2381.0×22026-04-01
South Shore Hospital South Weymouth$4,3041.0×12026-04-01
Beth Israel Deaconess Medical Center Boston$4,3711.0×32026-04-01
Anna Jaques Hospital Newburyport$4,6981.1×32026-04-01

Questions

How much do insurers pay for prostate biopsy in Massachusetts?

21 Massachusetts hospitals post usable commercial rates for prostate biopsy in their federal price-transparency files. For CPT 55707, hospital outpatient, the median across 20 hospitals is $4,643, 1.1× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.