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Prostate biopsy in Pennsylvania: what insurers pay

Posted commercial rates at 69 Pennsylvania 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
Conemaugh Memorial Medical Center Johnstown$1,8740.6×12026-04-15
Upmc Jameson New Castle$2,0390.6×32026-03-06
Upmc Northwest Seneca$2,0560.6×22026-03-06
Upmc Bedford Memorial Everett$2,1380.6×22026-03-06
St Mary Medical Center Langhorne$2,2130.6×202026-03-31
Upmc East Monroeville$2,2440.7×22026-03-06
Upmc Altoona Altoona$2,2740.7×12026-03-06
Upmc Somerset Somerset$2,6360.8×22026-03-06
Temple Health - Chestnut Hill Hospital Philadelphia$2,6560.7×32026-04-08
Hospital Of The Fox Chase Cancer Center Philadelphia$2,8340.8×12026-04-08
Upmc Hamot Erie$2,8530.8×32026-03-06
Upmc Mercy Pittsburgh$2,9760.9×22026-03-06
Holy Redeemer Hospital And Medical Center Meadowbrook$3,2300.9×42026-09-21
Jefferson Lansdale Hospital Lansdale$3,3161.0×52026-09-15
Roxborough Memorial Hospital Philadelphia$3,4180.9×62024-06-21
Upmc Washington Washington$3,4911.0×42026-03-06
Lower Bucks Hospital Bristol$3,5041.0×52026-09-01
St Luke'S Hospital - Upper Bucks Campus Quakertown$3,5771.0×32026-02-26
Saint Vincent Hospital Erie$3,6521.1×62026-04-14
Riddle Memorial Hospital Media$3,6981.0×22026-04-01
Jefferson Hospital Jefferson Hills$3,7141.1×62026-04-14
Jefferson Abington Hospital Abington$3,7211.1×52026-09-15
Jefferson Health-Northeast Philadelphia$3,7541.0×62026-09-15
Jefferson Einstein Montgomery Hospital East Norriton$3,7541.1×62026-09-15
Wayne Memorial Hospital Honesdale$3,7851.1×12026-09-16
Paoli Hospital Paoli$3,8701.1×22026-04-01
Bryn Mawr Hospital Bryn Mawr$3,9201.1×22026-04-01
Lankenau Medical Center Wynnewood$3,9671.2×22026-04-01
Upmc Memorial York$4,1731.2×52026-03-06
Grove City Hospital Grove City$4,1921.2×52026-04-14
Wellspan Evangelical Community Hospital Lewisburg$4,2021.2×62026-01-01
Allegheny Valley Hospital Natrona$4,3061.3×62026-04-14
Canonsburg General Hospital Canonsburg$4,3521.3×62026-04-14
Upmc Presbyterian Shadyside Pittsburgh$4,3871.3×12026-03-06
Forbes Hospital Monroeville$4,4161.3×62026-04-14
Ahn Wexford Hospital Wexford$4,6031.3×62026-04-14
St Luke'S Hospital Bethlehem Bethlehem$4,8431.4×32026-02-26
Upmc Carlisle Carlisle$5,0351.4×32026-03-06
Upmc Lititz Lititz$5,0351.5×32026-03-06
Upmc Hanover Hanover$5,0351.5×32026-03-06
Temple University Hospital Philadelphia$5,0591.4×42026-04-13
St Luke'S Miners Memorial Hospital Coaldale$5,0821.5×32026-02-27
St Luke'S Hospital - Monroe Campus Stroudsburg$5,0821.5×32026-02-27
St Luke'S Hospital - Carbon Campus Lehighton$5,0821.4×32026-02-27
Allegheny General Hospital Pittsburgh$5,3221.6×62026-04-14
West Penn Hospital Pittsburgh$5,3481.6×62026-04-14
Geisinger St. Luke'S Hospital Orwigsburg$5,3721.6×22026-02-26
Robert Packer Hospital Sayre$5,7191.7×92026-03-31
Troy Community Hospital Troy$5,7191.7×22026-03-31
Wellspan York Hospital York$6,4201.9×32026-01-01
Geisinger-Bloomsburg Hospital Bloomsburg$6,4321.9×22026-07-01
Uniontown Hospital Uniontown$6,5381.9×42026-07-09
Lehigh Valley Hospital Allentown$6,7141.9×12026-07-01
St Luke'S Hospital - Easton Campus Easton$7,0592.0×22026-02-26
Wellspan Chambersburg Hospital Chambersburg$7,2012.0×32026-01-01
Wellspan Ephrata Community Hospital Ephrata$7,5582.2×22026-01-01
Thomas Jefferson University Hospital Philadelphia$7,6382.1×42026-09-15
St Clair Hospital Pittsburgh$7,8792.3×72026-03-31
Wilkes-Barre General Hospital Wilkes-Barre$9,3502.7×12026-07-01
Geisinger Community Medical Center Scranton$10,2643.0×32026-07-01
Penn State Health Hampden Medical Center Enola$11,7793.3×12026-03-27
Penn State Health Holy Spirit Medical Center Camp Hill$11,9093.4×12026-03-27
Geisinger-Lewistown Hospital Lewistown$13,2013.9×22026-07-01
Penn State Health St. Joseph Reading$15,5884.3×12026-03-27

CPT 55709

HospitalMedian across insurers× MedicareInsurersFile date
Jefferson Lansdale Hospital Lansdale$3,1940.9×22026-09-15
Jefferson Abington Hospital Abington$3,1940.9×22026-09-15
Wayne Memorial Hospital Honesdale$3,7851.1×12026-09-16
Paoli Hospital Paoli$4,5271.3×12026-04-01
Riddle Memorial Hospital Media$4,5271.3×12026-04-01
Holy Redeemer Hospital And Medical Center Meadowbrook$4,5331.3×22026-09-21
Bryn Mawr Hospital Bryn Mawr$4,5651.3×12026-04-01
Lankenau Medical Center Wynnewood$4,5651.3×12026-04-01
Geisinger-Bloomsburg Hospital Bloomsburg$6,4321.9×22026-07-01
St Clair Hospital Pittsburgh$7,8792.3×72026-03-31
Thomas Jefferson University Hospital Philadelphia$8,2822.3×12026-09-15
Wilkes-Barre General Hospital Wilkes-Barre$9,3502.7×12026-07-01
Geisinger Community Medical Center Scranton$10,2643.0×32026-07-01
Penn State Health Hampden Medical Center Enola$11,7793.3×12026-03-27
Penn State Health Holy Spirit Medical Center Camp Hill$11,9093.4×12026-03-27
Geisinger-Lewistown Hospital Lewistown$13,2013.9×22026-07-01
Penn State Health St. Joseph Reading$15,5884.3×12026-03-27

CPT 55705

HospitalMedian across insurers× MedicareInsurersFile date
Holy Redeemer Hospital And Medical Center Meadowbrook$2,8730.8×52026-09-21
Jefferson Lansdale Hospital Lansdale$3,0720.9×52026-09-15
Jefferson Abington Hospital Abington$3,1480.9×52026-09-15
Riddle Memorial Hospital Media$3,4530.9×22026-04-01
Paoli Hospital Paoli$3,5981.1×22026-04-01
Bryn Mawr Hospital Bryn Mawr$3,6401.0×22026-04-01
Lankenau Medical Center Wynnewood$3,6801.1×22026-04-01
Wayne Memorial Hospital Honesdale$3,7851.1×12026-09-16
Jefferson Einstein Montgomery Hospital East Norriton$4,3161.3×62026-09-15
Jefferson Health-Northeast Philadelphia$4,3881.2×62026-09-15
Saint Vincent Hospital Erie$6,1481.8×62026-04-14
Jefferson Hospital Jefferson Hills$6,2521.8×62026-04-14
Uniontown Hospital Uniontown$6,5381.9×42026-07-09
Allegheny Valley Hospital Natrona$7,0042.0×62026-04-14
Canonsburg General Hospital Canonsburg$7,0222.0×62026-04-14
Grove City Hospital Grove City$7,0572.1×52026-04-14
Forbes Hospital Monroeville$7,2162.1×62026-04-14
Ahn Wexford Hospital Wexford$7,5532.2×62026-04-14
Thomas Jefferson University Hospital Philadelphia$7,6382.1×42026-09-15
St Clair Hospital Pittsburgh$7,8792.3×72026-03-31
Allegheny General Hospital Pittsburgh$8,6812.5×62026-04-14
West Penn Hospital Pittsburgh$8,7222.5×62026-04-14
Lehigh Valley Hospital Allentown$9,6532.7×62026-07-01
Penn State Health Hampden Medical Center Enola$11,7793.3×12026-03-27
Penn State Health Holy Spirit Medical Center Camp Hill$11,9093.4×12026-03-27
Penn State Health Lancaster Medical Center Lancaster$12,0943.5×12026-03-27
Lehigh Valley Hospital - Dickson City Dickson City$12,4643.6×82026-07-01
Lehigh Valley Hospital - Pocono East Stroudsburg$14,1394.1×82026-07-01
Lehigh Valley Hospital - Hazleton Hazleton$14,2364.2×82026-07-01
Penn State Health St. Joseph Reading$15,5884.3×12026-03-27
Lehigh Valley Hospital - Macungie Macungie$16,2154.5×82026-07-01

Questions

How much do insurers pay for prostate biopsy in Pennsylvania?

69 Pennsylvania hospitals post usable commercial rates for prostate biopsy in their federal price-transparency files. For CPT 55707, hospital outpatient, the median across 64 hospitals is $4,329, 1.3× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.