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Prostate biopsy in North Carolina: what insurers pay

Posted commercial rates at 15 North Carolina hospitals, each next to its own Medicare base rate.

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CPT 55707

HospitalMedian across insurers× MedicareInsurersFile date
North Carolina Specialty Hospital Durham$1,9950.6×12026-02-25
Atrium Health Lincoln Lincolnton$2,4020.7×12025-12-01
Atrium Health Cabarrus Concord$2,4350.7×12025-12-01
Atrium Health Pineville Charlotte$2,4350.7×12025-12-05
Atrium Health Union Monroe$2,4350.7×12025-12-04
Atrium Health University City Charlotte$2,4350.7×12025-12-05
Novant Health Presbyterian Medical Center Charlotte$2,6880.8×132026-03-31
UNC Rex Hospital Raleigh$3,7551.1×52026-04-01
Harris Regional Hospital Sylva$4,1541.2×12026-07-10
Novant Health New Hanover Regional Medical Center Wilmington$4,9511.4×12026-03-30
Lake Norman Regional Medical Center Mooresville$5,0501.5×22026-04-01
UNC Hospitals (Chapel Hill) Chapel Hill$5,7061.6×62026-04-01
Caromont Regional Medical Center Gastonia$7,9142.3×42026-05-11
Cape Fear Valley Medical Center Fayetteville$8,7312.5×12026-03-21
Cape Fear Valley Hoke Hospital Raeford$8,7312.5×12026-03-30

CPT 55709

HospitalMedian across insurers× MedicareInsurersFile date
Cape Fear Valley Medical Center Fayetteville$8,7312.5×12026-03-21
Cape Fear Valley Hoke Hospital Raeford$8,7312.5×12026-03-30
Caromont Regional Medical Center Gastonia$9,0032.6×32026-05-11

CPT 55705

HospitalMedian across insurers× MedicareInsurersFile date
Atrium Health Lincoln Lincolnton$4,0451.2×12025-12-01
Atrium Health Cabarrus Concord$4,1001.2×12025-12-01
Atrium Health Pineville Charlotte$4,1001.2×12025-12-05
Atrium Health Union Monroe$4,1001.2×12025-12-04
Atrium Health University City Charlotte$4,1001.2×12025-12-05
Novant Health New Hanover Regional Medical Center Wilmington$4,2761.2×22026-03-30
Caromont Regional Medical Center Gastonia$7,9142.3×42026-05-11
Cape Fear Valley Medical Center Fayetteville$8,7312.5×12026-03-21
Cape Fear Valley Hoke Hospital Raeford$8,7312.5×12026-03-30

Questions

How much do insurers pay for prostate biopsy in North Carolina?

15 North Carolina hospitals post usable commercial rates for prostate biopsy in their federal price-transparency files. For CPT 55707, hospital outpatient, the median across 15 hospitals is $3,755, 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.