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Package

Outpatient prostate biopsy

Package

Outpatient prostate biopsy

An outpatient prostate biopsy removes small tissue samples from the prostate gland to check for cancer or other concerns, most often performed using a needle guided by ultrasound under local anesthesia. Patients go home shortly after the procedure and typically feel mild pressure or brief discomfort but not significant pain. Results are reviewed by a pathologist and discussed with you to determine if any further evaluation or treatment is needed. The outpatient setting means no hospital stay is required.
You'd pay up to
$6,021 / Case Rate

A single, all-inclusive pricing methodology for a procedure in healthcare contracts, instead of separate charges for each service.

The estimated total cost of care without any insurance coverage or discounts.

$6,021

Without insurance

What goes into a price?

Negotiated prices across insurers

Lowest
$2,422
Highest
$7,674
Cash price
up to $6,021

Self pay or cash prices vary by facility when paying out of pocket without insurance benefits. The chart shows you how the lowest and highest amounts facilities charge for this service if you were paying without insurance benefits. If you're uninsured or not submitting a claim to insurance, you also have the right to a Good Faith Estimate under federal law. Contact the provider for a copy of your Good Faith Estimate or to better understand payment options available to you.

Procedures included in this package

This list includes the services and fees bundled into the Outpatient prostate biopsy Standard Service Package (SSP RE005). The final price for the procedure will depend on which services your provider ultimately performs, your insurance plan and your medical benefits.

Code Code Type Description
HCPCS 55700 Facility Fee Needle/punch Biopsy of Prostate Gland Through Any Approach
HCPCS G0416 Facility Fee Gross and Microscopic Surgical Pathology Examinations of Prostate Biopsy, Any Method
HCPCS 55700 Professional Fee Needle/punch Biopsy of Prostate Gland Through Any Approach
HCPCS 76942 Professional Fee Ultrasonic Needle Guidance with Imaging Supervision and Interpretation

Disclaimer

Southern Ohio Medical Center is committed to empowering our patients to make informed decisions about their healthcare. This includes helping patients understand the cost of care and the availability of financial assistance.

In compliance with federal law, we provide a list of standard charges that are reviewed on an annual basis. Charges for hospital services are not equivalent to the actual amount paid by insurance companies or patients. The amount paid for services is based on many factors, including health insurance benefit plans, applicable discounts, and services provided based on each patient's unique needs.

You'd pay up to
$6,021 / Case Rate

A single, all-inclusive pricing methodology for a procedure in healthcare contracts, instead of separate charges for each service.

The estimated total cost of care without any insurance coverage or discounts.

Disclaimer

Southern Ohio Medical Center is committed to empowering our patients to make informed decisions about their healthcare. This includes helping patients understand the cost of care and the availability of financial assistance.

In compliance with federal law, we provide a list of standard charges that are reviewed on an annual basis. Charges for hospital services are not equivalent to the actual amount paid by insurance companies or patients. The amount paid for services is based on many factors, including health insurance benefit plans, applicable discounts, and services provided based on each patient's unique needs.

What’s the difference between an individual procedure and a Standard Service Package (SSP)?

Individual Procedure

Individual procedures, like blood tests, each have unique prices and billing codes (like a CPT or HCPCS code). While they can be billed alone, they're usually grouped with other procedures on a claim. This grouping is what determines the total cost of your care.

Standard Service Package (SSP)

A SSP combines all medical services, materials, and fees associated with a healthcare visit or procedure into a single bundle to offer a more comprehensive estimate.

Contact us to verify your estimate

Have your service name, codes, and payment preference ready. If you’re using insurance, you may be asked for insurance details like your Member or Group ID.

Service Outpatient prostate biopsy
Service Codes HCPCS 55700, HCPCS G0416, HCPCS 76942
Insurance I'm not using insurance
Location Southern Ohio Medical Center
When you contact us, you can say:
"Hi, I'm calling to verify a price for Outpatient prostate biopsy I found through Southern Ohio Medical Center's price estimate tool. Here are the codes I’m looking at: HCPCS 55700, HCPCS G0416, HCPCS 76942. I'm not using insurance, can you confirm the cash pay estimate and help me schedule if needed?"
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