Price Checker / CPT G0416
How much does "prostate Biopsy cost?
CPT G0416 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is roughly 3.4x the fair price. This is well above fair — push back or dispute it.
Fair price
$710–$840
What this should cost
With insurance
~$1,650
Typical out-of-pocket
Overcharged if over
$1,050
Push back above this
The average hospital charge of $2,644 is $1,864 over the fair price (about 3.4x the fair rate).
What hospitals charge for "prostate Biopsy
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| Crestwood Medical Center HUNTSVILLE, AL | $7,323 | $1,318 | 1953% |
| Jackson Hospital MARIANNA, AL | $6,795 | $1,291 | 1805% |
| Gadsden Regional Medical Center GADSDEN, AL | $3,447 | $414 | 866% |
| Health Alliance Mary Avenue Hospital , NY | $2,649 | $650 | 643% |
| Margaretville Hospital , NY | $2,649 | $1,960 | 643% |
| Jefferson Memorial Hospital , TN | $2,130 | $471 | 497% |
| Lafollette Medical Center LA FOLLETTE, TN | $2,130 | $667 | 497% |
| North Knoxville Medical Center , TN | $2,130 | $477 | 497% |
| Turkey Creek Medical Center , TN | $2,130 | $477 | 497% |
| Merit Health Wesley HATTIESBURG, MS | $1,119 | $235 | 214% |
| Cary Medical Center CARIBOU, ME | $714 | $714 | 100% |
| Houlton Regional Hospital HOULTON, ME | $622 | $622 | 74% |
| Spencer Municipal Hospital SPENCER, IA | $531 | $398 | 49% |
Were you billed for this procedure?
Send us your bill and we'll compare every line item against Medicare rates and your hospital's published prices. Free review, no obligation.
About "prostate Biopsy
CPT code G0416 refers to "prostate biopsy (billing description: ""Prostate biopsy"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $357 in a facility (hospital or surgery center) and $4 in a doctor's office.
The Medicare rate is the closest thing to an objective "what this work is actually worth." A fair cash price for the uninsured is generally 1.5–3x that rate. Hospital sticker (gross) charges are often far higher — but almost nobody actually pays them.
What to do if you were overcharged
- 1Send us your bill — we'll identify this code and compare it against the rates shown above.
- 2Get a dispute letter — citing the Medicare rate and your hospital's own published pricing data.
- 3We negotiate for you — 25% of savings, no savings = no fee.