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Prostate biopsy in Virginia: what insurers pay

Posted commercial rates at 34 Virginia 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
Smyth County Community Hospital Marion$2,2590.7×22026-03-23
Lonesome Pine Hospital Big Stone Gap$2,2590.7×22026-03-23
Russell County Hospital Lebanon$2,2700.7×22026-03-23
Johnston Memorial Hospital Abingdon$2,2700.7×22026-03-23
Spotsylvania Regional Medical Center Fredericksburg$3,0740.8×32026-09-01
Sentara Northern Virginia Medical Center Woodbridge$3,1880.9×42026-04-01
Sentara Martha Jefferson Hospital Charlottesville$3,2760.9×32026-04-01
Augusta Health Fishersville$3,5331.0×32026-04-01
Reston Hospital Center Reston$3,5401.0×42026-09-01
Stonesprings Hospital Center Dulles$3,5481.0×42026-09-01
CJW Medical Center (Chippenham + Johnston-Willis) Richmond$4,0601.2×42026-09-01
Henrico Doctors' Hospital Richmond$4,2051.2×42026-09-01
Inova Alexandria Hospital Alexandria$4,5061.2×82026-04-01
Inova Mount Vernon Hospital Alexandria$4,5291.2×82026-04-01
Fauquier Hospital Warrenton$4,5401.2×12026-07-14
Inova Loudoun Hospital Leesburg$4,5481.3×82026-04-01
Inova Fair Oaks Hospital Fairfax$4,5601.3×82026-04-01
Inova Fairfax Hospital Falls Church$4,5901.3×82026-04-01
Tricities Hospital Hopewell$4,8721.4×32026-09-01
Sentara Obici Hospital Suffolk$5,1691.5×32026-04-01
Sentara Leigh Hospital Norfolk$5,1691.5×32026-04-01
Sentara Princess Anne Hospital Virginia Beach$5,1691.5×32026-04-01
Sentara Virginia Beach General Hospital Virginia Beach$5,2021.5×32026-04-01
Sentara Norfolk General Hospital Norfolk$5,2261.5×32026-04-01
Lewisgale Hospital Pulaski Pulaski$6,8662.0×22026-09-01
Lewisgale Hospital Alleghany Low Moor$7,2602.1×22026-09-01
Sentara Careplex Hospital Hampton$8,3572.4×22026-04-01
Sentara Williamsburg Regional Medical Center Williamsburg$8,8242.6×22026-04-01
Lewisgale Medical Center Salem$9,0602.6×22026-09-01
Lewisgale Hospital Montgomery Blacksburg$9,1672.7×22026-09-01
Sentara Rmh Medical Center Harrisonburg$10,8463.1×12026-04-01

CPT 55709

HospitalMedian across insurers× MedicareInsurersFile date
Spotsylvania Regional Medical Center Fredericksburg$5,2881.4×22026-09-01
Tricities Hospital Hopewell$6,7442.0×22026-09-01
Reston Hospital Center Reston$7,0421.9×22026-09-01
Stonesprings Hospital Center Dulles$7,0541.9×22026-09-01
Sentara Northern Virginia Medical Center Woodbridge$7,6082.1×12026-04-01
CJW Medical Center (Chippenham + Johnston-Willis) Richmond$8,1372.4×12026-09-01
Henrico Doctors' Hospital Richmond$8,1372.4×12026-09-01
Lewisgale Hospital Pulaski Pulaski$8,1812.4×22026-09-01
Lewisgale Hospital Alleghany Low Moor$8,7962.6×22026-09-01
Augusta Health Fishersville$9,6052.8×12026-04-01
Sentara Leigh Hospital Norfolk$10,0242.9×12026-04-01
Lewisgale Medical Center Salem$10,4423.0×22026-09-01
Lewisgale Hospital Montgomery Blacksburg$10,6543.1×22026-09-01
Sentara Virginia Beach General Hospital Virginia Beach$10,8173.1×12026-04-01
Sentara Rmh Medical Center Harrisonburg$10,8463.1×12026-04-01
Sentara Princess Anne Hospital Virginia Beach$11,4633.3×12026-04-01
Sentara Careplex Hospital Hampton$11,5453.4×12026-04-01
Sentara Norfolk General Hospital Norfolk$11,6833.4×12026-04-01
Sentara Martha Jefferson Hospital Charlottesville$11,6943.3×12026-04-01
Sentara Williamsburg Regional Medical Center Williamsburg$12,4223.6×12026-04-01
Sentara Obici Hospital Suffolk$13,3733.9×12026-04-01

CPT 55705

HospitalMedian across insurers× MedicareInsurersFile date
Spotsylvania Regional Medical Center Fredericksburg$3,2730.9×52026-09-01
Sentara Martha Jefferson Hospital Charlottesville$3,2760.9×32026-04-01
Sentara Northern Virginia Medical Center Woodbridge$3,5101.0×42026-04-01
Augusta Health Fishersville$3,5331.0×32026-04-01
Reston Hospital Center Reston$3,6091.0×62026-09-01
Stonesprings Hospital Center Dulles$3,6161.0×62026-09-01
CJW Medical Center (Chippenham + Johnston-Willis) Richmond$4,1461.2×62026-09-01
Henrico Doctors' Hospital Richmond$4,1771.2×62026-09-01
Tricities Hospital Hopewell$4,8161.4×52026-09-01
Lewisgale Hospital Montgomery Blacksburg$5,0511.5×32026-09-01
Lewisgale Hospital Pulaski Pulaski$5,0511.5×32026-09-01
Lewisgale Hospital Alleghany Low Moor$5,0511.5×32026-09-01
Sentara Obici Hospital Suffolk$5,1691.5×32026-04-01
Sentara Leigh Hospital Norfolk$5,1691.5×32026-04-01
Sentara Princess Anne Hospital Virginia Beach$5,1691.5×32026-04-01
Sentara Virginia Beach General Hospital Virginia Beach$5,2021.5×32026-04-01
Sentara Norfolk General Hospital Norfolk$5,2261.5×32026-04-01
Lewisgale Medical Center Salem$5,6581.6×22026-09-01
Sentara Careplex Hospital Hampton$8,3572.4×22026-04-01
Sentara Williamsburg Regional Medical Center Williamsburg$8,8242.6×22026-04-01
Riverside Doctors' Hospital Of Williamsburg Williamsburg$10,1683.0×12026-01-02
Riverside Shore Memorial Hospital Onancock$10,2603.0×12026-01-02
Sentara Rmh Medical Center Harrisonburg$10,8463.1×12026-04-01
Riverside Regional Medical Center Newport News$11,0293.2×12026-01-02

Questions

How much do insurers pay for prostate biopsy in Virginia?

34 Virginia hospitals post usable commercial rates for prostate biopsy in their federal price-transparency files. For CPT 55707, hospital outpatient, the median across 31 hospitals is $4,548, 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.