Prostate biopsy

Taking small tissue samples from the prostate to check for cancer.
Code 55700 · Surgery & procedures · statewide summary · negotiated in-network prices
Payers shown: MVP Health Care
Prices shown: surgery centers and hospital outpatient departments
Doctor’s fee or facility fee? These are doctors' (professional) fees only. If this is done in a hospital or surgery center, the facility bills its own fee on top — for the room, nurses and equipment — often larger than the doctor's. That fee is not included here. (About 1% of these prices are facility fees instead, which can show up as unusually high prices.)
Who is counted: MVP Health Care lists clinicians individually: 99% of the 88,092 provider IDs (NPIs) it names are individual doctors, nurse practitioners and therapists; the rest are practices, clinics and hospitals. “Providers” counts those IDs. MVP Health Care’s files name 3,197 providers for this procedure; 162 are counted here: the clinicians whose specialty performs it — mostly Specialist and Urology — and the practices, clinics and hospitals. Insurers attach their whole fee schedule to every contracted provider, so the rest are clinicians listed at a price for something they never do; counting them would inflate the provider count and pull the typical price towards the fee schedule’s floor.
Not on this map: Hospital stays: MVP Health Care's files have no prices for whole hospital stays (the kind billed as one amount per stay), so there are no hospital-stay maps for it. It may pay hospitals by the day or as a share of their charges, which these maps cannot show.
StateProvidersNamed in filesOrganisationsZip codes Lowest25th pctMedian75th pctHighest
This is a statewide summary. Prices vary far more between towns and between practices than these medians suggest; zip-code and provider-level detail is not published here; this specific data can be requested here.