Endometrial biopsy is a maternity or childbirth service. Prices are from 1639 US hospitals across 52 states, from their machine-readable files.
Price comparison (median)
Typical cash price here is $291 — about 3.0× the Medicare rate ($98). On the higher side. A fair cash price is usually within ~2× Medicare ($196).
💡 Asking for the cash price instead of the $509 list price could save about $218 (43%).
Rough estimate from this procedure’s median insurer-negotiated rate. Your actual cost depends on your plan — confirm with your insurer.
Lowest cash prices
| Hospital | Location | Cash | Insurer | CMS rating | ER wait | Readmit |
|---|---|---|---|---|---|---|
| Amery Hospital & Clinic 🍼 | Amery, WI | $44 | $73 | ★ 2/5 | 120 min | — |
| Saint Joseph London 🍼 | London, KY | $46 | $189 | ★ 3/5 | 185 min | — |
| CHI Saint Joseph Flaget Memorial Hospital 🍼 | Bardstown, KY | $46 | $189 | ★ 3/5 | 149 min | — |
| Saint Joseph Mount Sterling 🍼 | Mount Sterling, KY | $46 | $189 | ★ 4/5 | 134 min | — |
| Saint Joseph East 🍼 | Lexington, KY | $46 | $189 | ★ 2/5 | 131 min | — |
| CHI Saint Joseph Berea Nf | Berea, KY | $46 | $189 | ★ 4/5 | 126 min | — |
| Burleson St Joseph Health Center | Caldwell, TX | $46 | $93 | — | 80 min | — |
| Madison St Joseph Health Center | Madisonville, TX | $46 | $83 | — | 108 min | — |
| Grimes St Joseph Health Center | Navasota, TX | $46 | $111 | — | 92 min | — |
| Ahn Wexford Hospital 🍼 | Wexford, PA | $46 | $84 | ★ 5/5 | 184 min | — |
| West Penn Hospital 🍼 | Pittsburgh, PA | $48 | $82 | ★ 3/5 | 208 min | — |
| North Canyon Medical Center | Gooding, ID | $53 | $135 | — | 116 min | — |
| Bsa Hospital 🍼 | Amarillo, TX | $56 | $395 | ★ 2/5 | 215 min | — |
| O'connor Hospital | Delhi, NY | $57 | $77 | — | 95 min | — |
| Cobleskill Regional Hospital | Cobleskill, NY | $57 | $73 | ★ 4/5 | 111 min | — |
| University of Michigan Health-West 🍼 | Wyoming, MI | $58 | $111 | ★ 4/5 | 188 min | — |
| Nacogdoches Memorial Hospital | Nacogdoches, TX | $59 | $156 | ★ 2/5 | 174 min | — |
| Ochsner Medical Center-Kenner 🍼 | Kenner, LA | $60 | $183 | ★ 4/5 | 147 min | — |
| CHI St Luke's Health Brazosport | Lake Jackson, TX | $60 | $175 | ★ 4/5 | 152 min | — |
| Baptist Memorial Hospital Union City 🍼 | Union City, TN | $64 | $331 | ★ 4/5 | 139 min | — |
| Potomac Valley Hospital | Keyser, WV | $66 | — | ★ 1/5 | 119 min | — |
| North Texas Medical Center 🍼 | Gainesville, TX | $66 | $194 | ★ 4/5 | 117 min | — |
| Doctors Memorial Hospital | Bonifay, FL | $67 | $37 | ★ 2/5 | 121 min | — |
| Island Hospital 🍼 | Anacortes, WA | $67 | $253 | ★ 4/5 | 204 min | — |
| Bassett Healthcare 🍼 | Cooperstown, NY | $68 | $90 | ★ 2/5 | 199 min | — |
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. 🍼 = CMS Birthing-Friendly hospital. Data last updated October 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 Endometrial 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: $291; Medicare pays $98.
| Insurer | Hospitals | Negotiated median |
|---|---|---|
| Medicaid | 213 |
$20 – $260 |
| Amerigroup | 141 |
$46 – $435 |
| Medicare | 370 |
$26 – $257 |
| Univera | 13 |
$51 – $116 |
| Geisinger | 53 |
$67 – $872 |
| Highmark | 101 |
$28 – $435 |
| Independent Health | 25 |
$66 – $260 |
| AmeriHealth | 150 |
$54 – $1,205 |
| Workers' Comp / No-Fault | 69 |
$134 – $633 |
| MVP Health Care | 66 |
$63 – $632 |
| Priority Health | 41 |
$76 – $291 |
| Tricare / VA | 240 |
$31 – $263 |
| Molina Healthcare | 457 |
$42 – $2,702 |
| Devoted Health | 127 |
$98 – $239 |
| UPMC Health Plan | 74 |
$63 – $761 |
| Blue Cross Blue Shield | 928 |
$36 – $1,119 |
| UCare | 55 |
$50 – $460 |
| Harvard Pilgrim | 38 |
$118 – $493 |
| Humana | 747 |
$55 – $2,569 |
| Centene / Ambetter | 607 |
$31 – $1,394 |
| HealthPartners | 154 |
$59 – $502 |
| Sanford Health Plan | 52 |
$61 – $355 |
| Kaiser Permanente | 175 |
$33 – $604 |
| Coventry | 96 |
$74 – $524 |
| Medica | 128 |
$66 – $972 |
| Health Net | 179 |
$45 – $1,337 |
| UnitedHealthcare | 1092 |
$59 – $2,601 |
| Anthem | 414 |
$40 – $3,720 |
| Security Health Plan | 43 |
$137 – $611 |
| MultiPlan / PHCS network | 495 |
$104 – $870 |
| SelectHealth | 37 |
$139 – $5,307 |
| Aetna | 1000 |
$73 – $3,634 |
| AvMed | 47 |
$100 – $11,090 |
| Cigna | 766 |
$121 – $7,480 |
| Bright Health | 49 |
$607 – $2,644 |
| EmblemHealth | 68 |
$105 – $5,014 |
| Healthcare Highways | 31 |
$531 – $14,612 |
| Oscar Health | 193 |
$248 – $3,549 |
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
| State | Median cash |
|---|---|
| Tennessee | $72 |
| Kentucky | $77 |
| Mississippi | $81 |
| Arkansas | $130 |
| Utah | $134 |
| New Mexico | $137 |
Prices by city
Prices by state
Doctors who perform this
Clinicians who reported the most Medicare volume for this service. This reflects Original Medicare activity only and is a volume signal, not a quality ranking.
| Clinician | Specialty | Location | Medicare services |
|---|---|---|---|
| Helen Huynh, D.O | Obstetrics & Gynecology | Rosemead, CA | 39 |
| Frank Kolucki, MD | Obstetrics & Gynecology | Scranton, PA | 35 |
| Jennifer Marshak, MD | Obstetrics & Gynecology | Port Jefferson, NY | 31 |
| Tyler Adam, M.D. | Obstetrics & Gynecology | Hastings, NE | 29 |
| Helen Plavnik, M.D. | Obstetrics & Gynecology | Wheeling, IL | 27 |
| Rebecca Schwartz, MD | Obstetrics & Gynecology | Los Alamitos, CA | 26 |
| Lynda Thomas-Mabine, MD | Obstetrics & Gynecology | Philadelphia, PA | 24 |
| Darryl Johnson, DO | Obstetrics & Gynecology | Ames, IA | 24 |
| Raffaele Bruno, MD | Obstetrics & Gynecology | Burlington, MA | 24 |
| Poorti Riley, MD | Obstetrics & Gynecology | Ocala, FL | 24 |
| Gina Arabitg, MD | Obstetrics & Gynecology | Venice, FL | 24 |
| Suzanne Caron, M.D. | Obstetrics & Gynecology | Dartmouth, MA | 23 |
Does Medicare cover Endometrial biopsy?
Yes — Medicare generally covers Endometrial biopsy. It is typically an outpatient service under Medicare Part B, with a Medicare-approved amount of about $98. After your annual Part B deductible, you typically owe the 20% coinsurance — roughly $20 — unless a Medicare Advantage or supplemental (Medigap) plan covers it.
General guidance from Medicare’s national rates — your actual coverage and share depend on medical necessity, your plan, and where the service is performed. Confirm with Medicare or your plan.
About these prices
Based on prices published by 1639 US hospitals across 52 states, the typical (median) cash price is $291, versus a chargemaster (list) price around $509, a median insurer-negotiated rate of $251, a Medicare rate of about $98. Most cash prices fall between $93 and $655 — 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 Endometrial biopsy cost without insurance?
Does Medicare cover Endometrial biopsy?
What does Medicare pay for Endometrial biopsy?
Why do Endometrial biopsy prices vary between hospitals?
Is the cash price lower than using insurance?
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