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Procedure price report

Lab exam of prostate needle biopsy samples

HCPCS G0416the billing code this page is about

Covers the pathologist's gross and microscopic examination of prostate tissue cores taken during a saturation needle biopsy, billed once for the full set of specimens rather than per core.

Hospitals typically charge $586 cash for this outpatient procedure — the median across 240 hospitals that filed a usable cash price; the average of the middle 60% is $661. Most fall between $209 and $1,834 (20th–80th percentile).

Hospitals
240
States
37
Filings dated
Jun 2024 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 24, 2026

Median: half of hospitals filed less, half more — and it is a price some hospital actually filed. Average of the middle 60%: the mean of the prices between the 20th and 80th percentiles. We never publish the plain average, the lowest or the highest price: the extremes in hospital price files are chargemaster artefacts, not prices anyone pays.

What hospitals charge, from cheapest to most expensive

Cash price percentiles, outpatient, across 240 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$144$297$586$1,240$2,527

The most expensive tenth of hospitals charges at least 18× what the cheapest tenth charges ($144 vs $2,527).

How the prices are spread

$92 – $131: 11 hospitals$92$131 – $187: 22 hospitals$187 – $265: 13 hospitals$187$265 – $377: 27 hospitals$377 – $536: 30 hospitals$377$536 – $762: 44 hospitals$762 – $1,083: 18 hospitals$762$1,083 – $1,540: 9 hospitals$1,540 – $2,188: 25 hospitals$1,540$2,188 – $3,110: 19 hospitals$2,188median $586price bands are equal on a log scale
Hospitals per price band (218 of 240 — the bands cover the 5th to 95th percentile)
FromToHospitals
$92$13111
$131$18722
$187$26513
$265$37727
$377$53630
$536$76244
$762$1,08318
$1,083$1,5409
$1,540$2,18825
$2,188$3,11019

Against Medicare

Medicare pays (OPPS 2026, national rate)$366
Median cash price$586
Cash as a multiple of Medicare1.60×

The Medicare figure is the national unadjusted OPPS rate for this code — what Medicare itself pays a hospital before local wage adjustment. It is a benchmark, not a price anyone is charged.

By state

The median cash price in each state, against the national median of $586.

Alaska: no hospital in the corpus filed a usable priceAKMaine: 8 hospitals filed a usable price — fewer than 10, so no figureMEVermont: no hospital in the corpus filed a usable priceVTNew Hampshire: 3 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 3 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: 2 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 2 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: no hospital in the corpus filed a usable priceNDMinnesota: median $1,017 across 11 hospitalsMN$1,017Illinois: 1 hospital filed a usable price — fewer than 10, so no figureILWisconsin: 1 hospital filed a usable price — fewer than 10, so no figureWIMichigan: 9 hospitals filed a usable price — fewer than 10, so no figureMINew York: median $425 across 10 hospitalsNY$425Massachusetts: no hospital in the corpus filed a usable priceMAOregon: median $144 across 10 hospitalsOR$144Nevada: 1 hospital filed a usable price — fewer than 10, so no figureNVWyoming: no hospital in the corpus filed a usable priceWYSouth Dakota: 6 hospitals filed a usable price — fewer than 10, so no figureSDIowa: 2 hospitals filed a usable price — fewer than 10, so no figureIAIndiana: median $82 across 16 hospitalsIN$82Ohio: 8 hospitals filed a usable price — fewer than 10, so no figureOHPennsylvania: median $3,452 across 12 hospitalsPA$3,452New Jersey: 3 hospitals filed a usable price — fewer than 10, so no figureNJConnecticut: 6 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 2 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: 8 hospitals filed a usable price — fewer than 10, so no figureCAUtah: median $2,148 across 22 hospitalsUT$2,148Colorado: no hospital in the corpus filed a usable priceCONebraska: 1 hospital filed a usable price — fewer than 10, so no figureNEMissouri: 1 hospital filed a usable price — fewer than 10, so no figureMOKentucky: 3 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 2 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: 4 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: no hospital in the corpus filed a usable priceMDDelaware: no hospital in the corpus filed a usable priceDEArizona: no hospital in the corpus filed a usable priceAZNew Mexico: 1 hospital filed a usable price — fewer than 10, so no figureNMKansas: 1 hospital filed a usable price — fewer than 10, so no figureKSArkansas: no hospital in the corpus filed a usable priceARTennessee: median $152 across 15 hospitalsTN$152North Carolina: 4 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: 5 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: 6 hospitals filed a usable price — fewer than 10, so no figureOKLouisiana: 4 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: no hospital in the corpus filed a usable priceMSAlabama: 1 hospital filed a usable price — fewer than 10, so no figureALGeorgia: no hospital in the corpus filed a usable priceGAHawaii: no hospital in the corpus filed a usable priceHITexas: median $586 across 32 hospitalsTX$586Florida: median $297 across 14 hospitalsFL$297
Cash price by state, most expensive first. National median $586. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Pennsylvania PA12$3,452+489%$1,112 – $3,715
Utah UT22$2,148+266%$2,148 – $2,527
Minnesota MN11$1,017+73%$966 – $1,017
Texas TX32$5860%$444 – $614
New York NY10$425−27%$92 – $575
Florida FL14$297−49%$228 – $297
Tennessee TN15$152−74%$147 – $246
Oregon OR10$144−75%$144 – $492
Indiana IN16$82−86%$75 – $433
Michigan MI9not enough hospitals filed a usable price
California CA8not enough hospitals filed a usable price
Maine ME8not enough hospitals filed a usable price
Ohio OH8not enough hospitals filed a usable price
Connecticut CT6not enough hospitals filed a usable price
Oklahoma OK6not enough hospitals filed a usable price
South Dakota SD6not enough hospitals filed a usable price
South Carolina SC5not enough hospitals filed a usable price
Louisiana LA4not enough hospitals filed a usable price
North Carolina NC4not enough hospitals filed a usable price
Virginia VA4not enough hospitals filed a usable price
Kentucky KY3not enough hospitals filed a usable price
New Hampshire NH3not enough hospitals filed a usable price
New Jersey NJ3not enough hospitals filed a usable price
Washington WA3not enough hospitals filed a usable price
Iowa IA2not enough hospitals filed a usable price
Idaho ID2not enough hospitals filed a usable price
Montana MT2not enough hospitals filed a usable price
Rhode Island RI2not enough hospitals filed a usable price
West Virginia WV2not enough hospitals filed a usable price
Alabama AL1not enough hospitals filed a usable price
Illinois IL1not enough hospitals filed a usable price
Kansas KS1not enough hospitals filed a usable price
Missouri MO1not enough hospitals filed a usable price
Nebraska NE1not enough hospitals filed a usable price
New Mexico NM1not enough hospitals filed a usable price
Nevada NV1not enough hospitals filed a usable price
Wisconsin WI1not enough hospitals filed a usable price

Hospitals like yours

The same distribution cut by the kind of hospital. Hospital type and ownership come from CMS; a hospital counts as part of a system when its price file is shared with at least one other hospital under the same brand. The national median is $586.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care189$586$249 – $1,834
Children’s1fewer than 20 hospitals
Critical access49$444$147 – $2,148
Ownership
For-profit39$478$178 – $1,403
Government22$381$147 – $645
Non-profit178$605$249 – $2,148
System affiliation
Part of a system210$586$209 – $2,148
Independent30$433$178 – $667

Cash price vs list price

Median list price (chargemaster)$1,024
Median cash price$586
Cash as a share of list, median hospital60%

At the typical hospital, asking for the cash price cuts the list price by about 40%. The share is the median of each hospital’s own cash ÷ list ratio, over hospitals that filed both — not the ratio of the two medians above.

The same procedure, inpatient

187 hospitals filed a usable inpatient cash price for this code. The median is $614 and the average of the middle 60% is $878; most fall between $297 and $2,148.

Cash price percentiles, inpatient, across 187 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$172$353$614$1,834$2,647

The most expensive tenth of hospitals charges at least 15× what the cheapest tenth charges ($172 vs $2,647).

Of the 201 hospitals that filed this code inpatient, 187 gave a usable cash price; 4 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 10 a list price only.

How complete is this

240 of the 3,956 hospitals with a price file in our corpus (6%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 258 hospitals that filed this code at all gave us
Usable cash price — counted240
Cash price carrying a plausibility flag — shown on the compare tool, excluded here6
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded12
Hospitals that filed this code258

Sections not shown for this setting

  • Since our last snapshot: there is no earlier snapshot at least 90 days older than this one yet.

We last checked these hospitals’ price files for changes between September 4, 2026 and September 24, 2026; the figures were computed September 25, 2026 from filings loaded through September 23, 2026. The percentiles and averages use only the “counted” row.

Hospitals file this code under descriptions such as PROSTATE NEEDLE BIOPSY, ANY METHOD.

Method

Source
The machine-readable price files every U.S. hospital is required by CMS to publish, parsed per hospital. Nothing is surveyed, sampled or modelled.
What counts
One cash (self-pay) price per hospital for this code and setting. A hospital’s own filing can rule its number out — a placeholder, a “not applicable” note, a list price standing in for cash — and our plausibility checks can flag a price far below what every other hospital files. Both kinds are disclosed above and excluded from the statistics; on the compare tool a flagged price is still shown.
Statistics
Percentiles are discrete: each is a price some hospital filed. The average is the mean of the prices between the 20th and 80th percentiles. We never publish the plain mean, the minimum or the maximum. A state needs 10 hospitals and a segment 20 to show a figure; otherwise the row shows its count and no number. Medicare is the national unadjusted OPPS rate where one exists.
Names
Procedure names on these pages are our own plain-language titles, not the AMA’s copyrighted CPT descriptors. The code is the identity.

The full rules — sources, statistics, thresholds, limitations — are on the methodology page.

Download this page’s figures: JSON · CSV. Aggregates only — the per-hospital prices are on the compare tool.

Cite: HospitalRates.com, “Lab exam of prostate needle biopsy samples (CPT G0416) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-g0416-lab-exam-of-prostate-needle-biopsy-samples