Price Comparison Report

Prostate Biopsy

Raleigh, NC · 4 facilities · CPT 55700 · September 06, 2026

Summary

4 facilities within 25 miles of Raleigh publish prices for Prostate Biopsy. Cash prices range from $1,159 to $3,755 — a 3.2x difference for an identical procedure. The North Carolina average is $3,681.

$1,159 lowest
$3,755 highest
Best Value

Duke University Hospital

Durham, VA · Duke Health · 20.8 mi

$1,159 Cash price
5/5 CMS rating
80.0% Patient satisfaction

Lowest price among hospitals rated 5 stars or above. Patient satisfaction: 80%. Cash price of $1,159 is below the statewide average of $3,681.

All facilities ranked by price

1
Duke University Hospital 5★ · 20.8 mi · For-profit
$1,159
2
Wakemed, Raleigh Campus 4★ · 0.0 mi · Nonprofit
$1,447
3
Rex Hospital 5★ · 0.0 mi · State government
$3,755
Complete facility data
# Facility Cash Price Gross Charge Markup CMS Stars Patient Rating Ownership
1 Duke University Hospital Duke Health Durham, NC · 20.8 mi $1,159 $4,291 3.7x 5/5 80.0% For-profit
2 Wakemed, Raleigh Campus WakeMed Raleigh, NC · 0.0 mi $1,447 $3,809 2.63x 4/5 71.0% Nonprofit
3 Rex Hospital UNC Health Raleigh, NC · 0.0 mi $3,755 $6,259 1.67x 5/5 80.0% State government
4 Duke Health Raleigh Hospital Duke Health Raleigh, NC · 3.8 mi — $3,108 — — —

Insurance negotiated rates by facility

The rates below are what each insurer has contractually agreed to pay this hospital for Prostate Biopsy. Your actual out-of-pocket cost depends on your deductible status and copay structure.

Duke University Hospital

Cash: $1,159
Insurance Plan Negotiated Rate vs Cash
Alliance Health Managed Medicaid $898 -$260
AmeriHealth Managed Medicaid $898 -$260
Blue Cross Blue Shield Managed Medicaid $898 -$260
Carolina Complete Health Managed Medicaid $898 -$260
Partners Managed Medicaid $898 -$260
Trillium Managed Medicaid $898 -$260
UnitedHealthcare Managed Medicaid $943 -$215
Aetna Whole Health $1,605 +$446
Cigna Connect $1,622 +$463
MedCost Ultra $1,828 +$669
Aetna Medicare Advantage HMO $1,971 +$812
Aetna Medicare Advantage PPO $1,971 +$812
Blue Cross Blue Shield Medicare Advantage/Medicare Advantage HMO/Medicare Advantage PPO $1,971 +$812
Humana Medicare Advantage $1,971 +$812
UnitedHealthcare Medicare Advantage $1,971 +$812

10 additional plans not shown.

Wakemed, Raleigh Campus

Cash: $1,447
Insurance Plan Negotiated Rate vs Cash
AmeriHealth Managed Medicaid $683 -$764
Carolina Complete Managed Medicaid $683 -$764
Wellcare Managed Medicaid $683 -$764
Cigna Exchange $1,120 -$328
Ambetter Exchange $1,381 -$66
Aetna Narrow Network $1,714 +$267
First Health Coventry Carelink $1,752 +$305
Blue Cross Blue Shield Commercial $1,897 +$450
Aetna Preferred $1,904 +$457
Cigna Commercial $1,943 +$495
Aetna Medicare Advantage $1,980 +$533
Blue Cross Blue Shield Medicare Advantage $1,980 +$533
Wellcare Medicare Advantage $1,980 +$533
Liberty Medicare Advantage $2,020 +$572
Pruitt Medicare Advantage $2,020 +$572

6 additional plans not shown.

Rex Hospital

Cash: $3,755
Insurance Plan Negotiated Rate vs Cash
ALLIANCE MANAGED MEDICAID $1,392 -$2,363
CAROLINA COMPLETE HEALTH MANAGED MEDICAID $1,392 -$2,363
HEALTHY BLUE NORTH CAROLINA MANAGED MEDICAID $1,392 -$2,363
UnitedHealthcare MANAGED MEDICAID $1,392 -$2,363
WELLCARE MANAGED MEDICAID $1,392 -$2,363
TRILLIUM MANAGED MEDICAID $1,406 -$2,350
PARTNERS MANAGED MEDICAID $1,434 -$2,321
VAYA HEALTH MANAGED MEDICAID $1,434 -$2,321
Blue Cross Blue Shield BLUE HOME $1,750 -$2,005
Aetna MEDICARE ADVANTAGE $1,980 -$1,775
ALIGNMENT MEDICARE ADVANTAGE $1,980 -$1,775
ALIGNMENT SMART HMO $1,980 -$1,775
Blue Cross Blue Shield MEDICARE ADVANTAGE $1,980 -$1,775
Cigna MEDICARE ADVANTAGE $1,980 -$1,775

13 additional plans not shown.

Before you call

The data in this report is from each hospital's publicly filed prices. Here's how to use it.

Confirm the price

Call the hospital's billing department and ask for a price estimate or Good Faith Estimate for Prostate Biopsy (CPT 55700). Under federal law, they must provide this. Compare it to the published price in this report.

Ask about cash pay

If you haven't met your deductible, ask for the cash/self-pay rate. At many hospitals, the cash price is lower than the insurance-negotiated rate. You can see this in the insurance table above — some negotiated rates exceed the cash price.

Compare before you schedule

You are not required to use the facility your doctor referred you to. You can request a referral to any in-network facility. The same procedure, same quality — sometimes at a fraction of the price.

Ask about financial help

Most nonprofit hospitals in Virginia offer financial assistance to patients based on household income. This is separate from insurance — even insured patients can qualify. Ask billing for their Financial Assistance Policy.

Financial assistance by facility

Nonprofit hospitals are legally required to have financial assistance programs. Below is what we know about each facility's charitable care.

Facility Status Charity Care Provided How to Apply
Duke University Hospital For-profit — N/A (for-profit)
Wakemed, Raleigh Campus Nonprofit — Call billing, request Financial Assistance application
Rex Hospital State government — N/A (for-profit)
Duke Health Raleigh Hospital — N/A (for-profit)

What to do next

  1. Identify your top 2-3 facilities based on price, quality rating, and distance. The data in this report shows that lower price does not mean lower quality — check the star ratings.
  2. Call billing before you schedule. Confirm the published price. Ask for a Good Faith Estimate. Ask whether there's a prompt-pay or cash-pay discount beyond the listed rate.
  3. Check your deductible status. If you haven't met your deductible, compare the cash rate to what you'd owe through insurance. In some cases, paying cash is cheaper than using your plan.
  4. Apply for financial assistance if your household income is under $60,000-$125,000 (thresholds vary). Most eligible patients never apply because they don't know the program exists.
  5. Get everything in writing. Before your procedure, get a written price estimate. After, review the bill line by line. Roughly 80% of hospital bills contain errors (Becker's Hospital Review).

Data sources

Hospital prices
Published machine-readable files, required under CMS Hospital Price Transparency Rule (45 CFR Part 180)
Quality ratings
CMS Hospital Compare, updated quarterly
Patient satisfaction
HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems)
Financial data
CMS Cost Reports (charity care, revenue) and IRS 990 filings (officer compensation)

This report is for informational purposes only. It is not medical advice. Every price shown is a price a hospital published — not an estimate. Actual out-of-pocket costs depend on your insurance plan, deductible status, and clinical circumstances. Consult your healthcare provider and insurer before making decisions.