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Prostate biopsy in Pennsylvania: what insurers pay

Posted commercial rates at 19 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
Upmc East Monroeville$2,4940.7×12026-03-06
Jefferson Abington Hospital Abington$3,5181.0×42026-09-15
Upmc Washington Washington$3,5651.0×22026-03-06
Jefferson Health-Northeast Philadelphia$3,6541.0×52026-09-15
Jefferson Einstein Montgomery Hospital East Norriton$3,6541.1×52026-09-15
Riddle Memorial Hospital Media$3,6981.0×22026-04-01
Paoli Hospital Paoli$3,8701.1×22026-04-01
Bryn Mawr Hospital Bryn Mawr$3,9201.1×22026-04-01
Upmc Mercy Pittsburgh$3,9481.1×12026-03-06
Lankenau Medical Center Wynnewood$3,9671.2×22026-04-01
Upmc Presbyterian Shadyside Pittsburgh$4,3871.3×12026-03-06
Jefferson Hospital Jefferson Hills$4,8011.4×52026-04-14
Allegheny Valley Hospital Natrona$4,9741.4×52026-04-14
Forbes Hospital Monroeville$5,6171.6×52026-04-14
Ahn Wexford Hospital Wexford$5,9911.8×52026-04-14
Allegheny General Hospital Pittsburgh$6,5391.9×52026-04-14
Lehigh Valley Hospital Allentown$6,7141.9×12026-07-01
Temple University Hospital Philadelphia$6,7821.9×22026-04-13
Thomas Jefferson University Hospital Philadelphia$6,9931.9×32026-09-15

CPT 55709

HospitalMedian across insurers× MedicareInsurersFile date
Riddle Memorial Hospital Media$4,5271.3×12026-04-01
Bryn Mawr Hospital Bryn Mawr$4,5651.3×12026-04-01
Thomas Jefferson University Hospital Philadelphia$8,2822.3×12026-09-15

CPT 55705

HospitalMedian across insurers× MedicareInsurersFile date
Riddle Memorial Hospital Media$3,4530.9×22026-04-01
Bryn Mawr Hospital Bryn Mawr$3,6401.0×22026-04-01
Thomas Jefferson University Hospital Philadelphia$6,9931.9×32026-09-15
Lehigh Valley Hospital Allentown$9,6532.7×62026-07-01

Questions

How much do insurers pay for prostate biopsy in Pennsylvania?

19 Pennsylvania hospitals post usable commercial rates for prostate biopsy in their federal price-transparency files. For CPT 55707, hospital outpatient, the median across 19 hospitals is $3,967, 1.2× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.