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Prostate biopsy in Rhode Island: what insurers pay

Posted commercial rates at 5 Rhode Island 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
Landmark Medical Center Woonsocket$2,2430.6×32026-09-01
Westerly Hospital Westerly$3,3590.8×82026-09-19
The Miriam Hospital Providence$4,0991.0×32026-04-01
Rhode Island Hospital Providence$4,2741.1×52026-04-01
Newport Hospital Newport$7,9922.0×42026-04-01

CPT 55709

HospitalMedian across insurers× MedicareInsurersFile date
Rhode Island Hospital Providence$16,6604.2×12026-04-01
Newport Hospital Newport$17,2564.3×12026-04-01
The Miriam Hospital Providence$22,2585.6×12026-04-01

CPT 55705

HospitalMedian across insurers× MedicareInsurersFile date
Rhode Island Hospital Providence$6,2701.6×52026-04-01
The Miriam Hospital Providence$6,7681.7×32026-04-01
Newport Hospital Newport$7,0981.8×52026-04-01

Questions

How much do insurers pay for prostate biopsy in Rhode Island?

5 Rhode Island hospitals post usable commercial rates for prostate biopsy in their federal price-transparency files. For CPT 55707, hospital outpatient, the median across 5 hospitals is $4,099, 1.0× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.