Prostate biopsy in Grenada, MS: hospital prices
None of the 2 hospitals in this metro area has a readable file with this code yet.
None of the 2 hospitals in the Grenada, MS metro area has a readable price file that lists prostate biopsy (CPT 55700) yet. Hospitals must publish a machine-readable file of standard charges, but many do not, or leave codes out; we re-read every file monthly and this page updates when a price appears.
What's in the price
The hospital facility fee for CPT 55700. The doctor, anesthesia and lab work usually bill separately.
Cash vs. insured
Cash is what you pay without insurance. With insurance you pay a share of the negotiated rate, which can be higher than cash. You may ask for the cash price.
What to say on the phone
"I'd like the self-pay price for CPT 55700, in writing, and whether it covers facility, physician and anesthesia."
About prostate biopsy
CPT 55700 is a needle biopsy of the prostate, usually guided by ultrasound through the rectum (or through the skin of the perineum), taking twelve or more tissue samples to check for cancer after an elevated PSA or an abnormal exam. It takes 15 to 20 minutes, typically with local anesthesia.
What the price covers
The hospital's price is the facility fee for the procedure room, ultrasound and supplies. The urologist, the ultrasound guidance (76872) and the pathology for each sample are billed separately. Pathology on twelve cores can cost more than the biopsy itself, so ask how it is billed. An MRI-fusion biopsy uses additional codes.
Why prices vary
Many urologists perform prostate biopsies in their own office, where the total is often far below a hospital's facility fee. Hospital prices within a metro area vary several times.
Questions to ask
- What is the self-pay price for 55700, plus ultrasound guidance and pathology?
- Is pathology billed per core or as one charge?
- Can the biopsy be done in the urologist's office?
Hospitals in Grenada, MS without a price for this procedure
Listed so you know who to call. The reason is what we found on their website.
- Tyler Holmes Memorial Hospital CahNo website on record
- University of Mississippi Medical Center- Grenadacode not in file