Kidney biopsy Cost by Hospital

Kidney biopsy is a surgical procedure. Prices are from 1715 US hospitals across 52 states, from their machine-readable files.

$1,828median cash price · 1715 hospitals, 52 statestypically $683–$4,579 depending on the hospital
≈ 3.7× Medicare · High vs MedicareFind hospitals near you

Price comparison (median)

Chargemaster (list price)
$3,434
Cash / self-pay
$1,828
Insurer-negotiated
$1,805
Medicare pays
$492
$683$4,579
Median cash $1,828  ·  Medicare $492  ·  bar = typical cash range (10th–90th percentile)
Is this a fair price?
1× Medicarefair ≈2×5×+

Typical cash price here is $1,828 — about 3.7× the Medicare rate ($492). High vs Medicare. A fair cash price is usually within ~2× Medicare ($984).

💡 Asking for the cash price instead of the $3,434 list price could save about $1,606 (47%).

Estimate what you’ll pay
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Rough estimate from this procedure’s median insurer-negotiated rate. Your actual cost depends on your plan — confirm with your insurer.

Lowest cash prices

HospitalLocationCashInsurerCMS ratingER waitReadmit
The Outer Banks Hospital, Inc Nags Head, NC $280 $337 ★ 4/5 213 min 15.3%
Desoto Regional Health System Mansfield, LA $291 $415 ★ 2/5 107 min 14.3%
Mercy Medical Ctr Springfield, MA $309 $54 ★ 2/5 278 min 15.7%
O'connor Hospital Delhi, NY $309 $417 — 88 min 14.7%
Little Falls Hospital Little Falls, NY $309 $345 ★ 2/5 110 min 15.7%
Cobleskill Regional Hospital Cobleskill, NY $309 $392 ★ 4/5 109 min 14.6%
Virtua Our Lady of Lourdes Hospital Camden, NJ $316 — ★ 2/5 161 min 15.4%
Virtua Willingboro Hospital Willingboro, NJ $316 — ★ 3/5 181 min 14.8%
St Peters Health Helena, MT $320 $534 ★ 3/5 178 min 14.3%
St Peter's Hospital Albany, NY $320 $320 ★ 2/5 374 min 14.8%
Samaritan Hospital of Troy, New York Troy, NY $320 $320 ★ 3/5 243 min 14.3%
ECU Health Bertie Hospital Windsor, NC $321 $390 ★ 4/5 162 min 14.4%
University Medical Center Las Vegas, NV $339 $479 ★ 2/5 240 min 15.6%
Mount Desert Island Hospital Bar Harbor, ME $353 $245 — 130 min 14.6%
Maimonides Medical Center Brooklyn, NY $355 — ★ 2/5 206 min 17.2%
North Texas Medical Center Gainesville, TX $360 $1,545 ★ 4/5 121 min 14.9%
University of Michigan Health System Ann Arbor, MI $368 $446 ★ 4/5 358 min 15.3%
St Clair Hospital Pittsburgh, PA $385 $3,600 ★ 4/5 195 min 15.5%
Saint Joseph Regional Medical Center Mishawaka, IN $389 $223 ★ 2/5 188 min 14.9%
St Joseph Health System, Llc Fort Wayne, IN $389 $223 ★ 4/5 131 min 14.8%
UNC Health Care Wayne Goldsboro, NC $391 $471 ★ 3/5 192 min 15.3%
Sidney Health Center Sidney, MT $398 $158 ★ 3/5 152 min 14.7%
Coosa Valley Medical Center Sylacauga, AL $404 $1,526 ★ 3/5 122 min 15.1%
West Jefferson Medical Center Marrero, LA $405 $1,142 ★ 3/5 154 min 15.0%
Memorial Hermann Surgical Hospital Kingwood Kingwood, TX $406 $2,275 — — 14.8%

CMS rating = overall hospital star rating (1–5); ER wait = median minutes in the emergency department; Readmit = 30-day readmission rate (lower is better) — all from Medicare’s Care Compare; “—” = not reported. Data last updated June 2026. Prices from hospitals’ machine-readable files (45 CFR §180); Medicare benchmark from CMS PFS/CLFS/IPPS. Prices below 15% of the median are excluded as likely partial or mis-coded charges. Estimates — confirm with the hospital. Report an incorrect price.

What insurers pay for Kidney biopsy

Median in-network negotiated rate by insurer, across hospitals that publish it (cheapest first). Your actual rate depends on your specific plan and deductible. Cash / self-pay for comparison: $1,828; Medicare pays $492.

InsurerHospitalsNegotiated median
Independent Health 27
$150
$74 – $1,917
Univera 14
$162
$102 – $592
Medicaid 248
$335
$62 – $1,574
Amerigroup 133
$511
$154 – $1,745
Bright Health 50
$960
$607 – $2,644
Priority Health 48
$1,099
$179 – $2,578
Centene / Ambetter 616
$1,150
$263 – $2,762
AmeriHealth 169
$1,280
$149 – $3,902
Workers' Comp / No-Fault 103
$1,334
$342 – $4,088
Harvard Pilgrim 33
$1,414
$288 – $4,687
Tricare / VA 277
$1,443
$120 – $2,550
Medicare 391
$1,443
$109 – $2,124
Molina Healthcare 459
$1,498
$128 – $2,868
Geisinger 60
$1,545
$199 – $7,019
Devoted Health 122
$1,553
$518 – $1,952
Sanford Health Plan 34
$1,613
$124 – $2,551
Humana 735
$1,621
$305 – $3,383
Highmark 100
$1,621
$165 – $5,666
SelectHealth 42
$1,632
$320 – $5,307
Medica 121
$1,633
$362 – $3,910
UCare 44
$1,638
$242 – $3,622
HealthPartners 141
$1,669
$273 – $3,646
Security Health Plan 35
$1,684
$421 – $3,248
UPMC Health Plan 71
$1,742
$228 – $4,467
Blue Cross Blue Shield 970
$1,787
$267 – $5,411
Anthem 425
$1,813
$267 – $6,315
Aetna 1060
$1,818
$464 – $4,503
UnitedHealthcare 1133
$1,872
$294 – $5,268
Kaiser Permanente 186
$1,969
$223 – $5,977
Health Net 241
$1,994
$361 – $4,709
MVP Health Care 70
$2,052
$267 – $4,838
Coventry 103
$2,183
$624 – $3,890
Healthcare Highways 44
$2,229
$1,691 – $3,160
MultiPlan / PHCS network 597
$2,321
$780 – $4,965
Cigna 888
$2,380
$859 – $7,321
AvMed 53
$2,516
$786 – $8,465
Oscar Health 186
$3,120
$1,089 – $4,723
EmblemHealth 59
$3,625
$973 – $17,832

Negotiated rates are from hospitals’ machine-readable files (45 CFR §180); payer names are normalized to major brands, so a brand may span several plans. Estimates — confirm with your insurer.

Where it’s cheapest

StateMedian cash
Puerto Rico$251
Tennessee$509
Mississippi$631
Louisiana$845
Montana$899
North Carolina$940

Prices by city

Chicago, ILPhiladelphia, PAAustin, TXDallas, TXHouston, TXCincinnati, OHNew York, NYBrooklyn, NYKansas City, MOSacramento, CABronx, NYCharlotte, NCFort Worth, TXLos Angeles, CANashville, TNArlington, TXLittle Rock, ARMiami, FLOklahoma City, OKRochester, NYSaint Louis, MOSan Francisco, CAAlbuquerque, NMAurora, CO

Prices by state

CaliforniaTexasOhioNew YorkFloridaPennsylvaniaWisconsinNorth CarolinaIllinoisMinnesotaTennesseeMichiganGeorgiaColoradoLouisianaMissouriIndianaWashingtonVirginiaOklahomaMassachusettsKentuckyArizonaNew JerseyArkansasSouth CarolinaKansasMississippiNebraskaIowaAlabamaMaineIdahoWest VirginiaConnecticutUtahOregonMontanaNew MexicoPuerto RicoNew HampshireNevadaSouth DakotaNorth DakotaDelawareWyomingRhode IslandHawaiiAlaskaVermontWashington DC

About these prices

Based on prices published by 1715 US hospitals across 52 states, the typical (median) cash price is $1,828, versus a chargemaster (list) price around $3,434, a median insurer-negotiated rate of $1,805, a Medicare rate of about $492. Most cash prices fall between $683 and $4,579 — a wide spread, which is exactly why comparing hospitals pays off.

How to save

  • Ask each hospital for its cash / self-pay price — for shoppable services it is often far below the list price.
  • Compare several nearby hospitals; prices for the same service can differ severalfold.
  • Request a written estimate and the billing code (CPT/DRG) before scheduling.
  • Use the Medicare benchmark above to judge whether a quote is reasonable.
  • If you are uninsured, ask about financial assistance or prompt-pay discounts.

Frequently asked questions

How much does Kidney biopsy cost without insurance?
The median cash (self-pay) price across 1715 US hospitals is $1,828. Most hospitals fall between $683 and $4,579. Prices vary widely between hospitals, so it pays to compare before you book.
What does Medicare pay for Kidney biopsy?
Medicare pays about $492. We show this as a benchmark — a fair cash price is often within a few multiples of the Medicare rate.
Why do Kidney biopsy prices vary between hospitals?
Hospitals set their own chargemaster and cash prices and negotiate different rates with each insurer, so two hospitals in the same area can charge very differently for the same service.
Is the cash price lower than using insurance?
Sometimes. If you are uninsured or have a high deductible, the cash/self-pay price can be lower than the insurer-negotiated rate — ask the hospital for both.

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