Kidney biopsy Cost by Hospital

Kidney biopsy is a surgical procedure. Prices are from 1766 US hospitals across 52 states, from their machine-readable files.

$1,871median cash price · 1766 hospitals, 52 statestypically $708–$4,826 depending on the hospital
≈ 3.8× Medicare · High vs MedicareFind hospitals near you

Price comparison (median)

Chargemaster (list price)
$3,468
Cash / self-pay
$1,871
Insurer-negotiated
$1,800
Medicare pays
$492
$708$4,826
Median cash $1,871  ·  Medicare $492  ·  bar = typical cash range (10th–90th percentile)
Is this a fair price?
1× Medicarefair ≈2×5×+

Typical cash price here is $1,871 — about 3.8× 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 $3,468 list price could save about $1,597 (46%).

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
Desoto Regional Health System Mansfield, LA $291 $415 ★ 2/5 109 min —
Mercy Medical Ctr Springfield, MA $309 $54 ★ 2/5 275 min —
O'connor Hospital Delhi, NY $309 $417 — 95 min —
Little Falls Hospital Little Falls, NY $309 $345 ★ 2/5 109 min —
Cobleskill Regional Hospital Cobleskill, NY $309 $392 ★ 4/5 111 min —
Virtua Our Lady of Lourdes Hospital Camden, NJ $316 — ★ 2/5 168 min —
Virtua Willingboro Hospital Willingboro, NJ $316 — ★ 3/5 178 min —
St Peters Health Helena, MT $320 $534 ★ 3/5 179 min —
St Peter's Hospital Albany, NY $320 $320 ★ 2/5 341 min —
Samaritan Hospital of Troy, New York Troy, NY $320 $320 ★ 3/5 228 min —
ECU Health Bertie Hospital Windsor, NC $321 $390 ★ 4/5 166 min —
University Medical Center Las Vegas, NV $339 $479 ★ 2/5 238 min —
Mount Desert Island Hospital Bar Harbor, ME $353 $245 — 130 min —
Maimonides Medical Center Brooklyn, NY $355 — ★ 2/5 208 min —
North Texas Medical Center Gainesville, TX $360 $1,586 ★ 4/5 117 min —
University of Michigan Health System Ann Arbor, MI $368 $446 ★ 4/5 345 min —
St Clair Hospital Pittsburgh, PA $385 $3,600 ★ 4/5 200 min —
Saint Joseph Regional Medical Center Mishawaka, IN $389 $223 ★ 2/5 195 min —
St Joseph Health System, Llc Fort Wayne, IN $389 $223 ★ 4/5 121 min —
UNC Health Care Wayne Goldsboro, NC $391 $471 ★ 3/5 190 min —
Sidney Health Center Sidney, MT $398 $158 ★ 3/5 152 min —
Coosa Valley Medical Center Sylacauga, AL $404 $1,496 ★ 3/5 124 min —
West Jefferson Medical Center Marrero, LA $405 $1,142 ★ 3/5 147 min —
Memorial Hermann Surgical Hospital Kingwood Kingwood, TX $406 $2,275 — — —
Tidelands Georgetown Memorial Hospital Georgetown, SC $429 $2,566 ★ 2/5 151 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. 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 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: $1,871; Medicare pays $492.

InsurerHospitalsNegotiated median
Independent Health 28
$150
$74 – $2,052
Univera 14
$162
$102 – $592
Medicaid 254
$361
$69 – $1,574
Amerigroup 137
$511
$154 – $1,745
Bright Health 50
$960
$607 – $2,644
Priority Health 47
$1,099
$179 – $2,578
Centene / Ambetter 636
$1,192
$258 – $2,762
AmeriHealth 184
$1,271
$144 – $3,902
Workers' Comp / No-Fault 103
$1,334
$342 – $4,088
Molina Healthcare 482
$1,402
$120 – $2,759
Harvard Pilgrim 33
$1,414
$288 – $4,687
Medicare 395
$1,432
$109 – $2,124
Tricare / VA 283
$1,442
$120 – $2,550
Geisinger 60
$1,545
$199 – $7,019
Devoted Health 137
$1,563
$558 – $1,950
Sanford Health Plan 34
$1,613
$124 – $2,551
Humana 766
$1,618
$303 – $3,432
Highmark 106
$1,621
$165 – $5,666
Medica 123
$1,628
$387 – $3,895
SelectHealth 42
$1,632
$320 – $5,307
UCare 45
$1,637
$242 – $3,622
HealthPartners 144
$1,670
$273 – $3,646
Security Health Plan 36
$1,684
$431 – $3,248
UPMC Health Plan 85
$1,732
$216 – $4,472
Blue Cross Blue Shield 983
$1,787
$267 – $5,411
UnitedHealthcare 1181
$1,811
$311 – $5,140
Aetna 1106
$1,818
$463 – $4,567
Anthem 464
$1,917
$267 – $6,169
Health Net 245
$1,950
$322 – $4,648
Kaiser Permanente 188
$1,958
$153 – $5,934
MVP Health Care 70
$2,062
$267 – $4,838
Coventry 107
$2,120
$624 – $3,850
AvMed 57
$2,124
$786 – $8,338
Healthcare Highways 44
$2,229
$1,691 – $3,160
Cigna 935
$2,374
$831 – $7,154
MultiPlan / PHCS network 632
$2,377
$780 – $4,999
EmblemHealth 71
$2,680
$973 – $13,030
Oscar Health 212
$3,120
$1,094 – $4,723

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
Tennessee$509
Mississippi$693
Louisiana$845
Montana$899
New Hampshire$924
North Carolina$940

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.

ClinicianSpecialtyLocationMedicare services
Maitray Patel, M.D.Diagnostic RadiologyScottsdale, AZ94
Nirvikar Dahiya, MDDiagnostic RadiologyScottsdale, AZ89
Scott Young, M.D.Diagnostic RadiologyScottsdale, AZ88
Adam Weisbrod, M.D.Diagnostic RadiologyRochester, MN83
Brendan McmenomyDiagnostic RadiologyRochester, MN73
David Sella, MDInterventional RadiologyJacksonville, FL71
Frank Chen, M.D.Diagnostic RadiologyJacksonville, FL69
Ali Agely, MDDiagnostic RadiologyJacksonville, FL67
Ziad Zaky, MDNephrologyCleveland, OH56
Chris Gu, M.D.Diagnostic RadiologyRochester, MN56
Mark Sugi, M.D.Diagnostic RadiologyScottsdale, AZ55
Cane HoffmanDiagnostic RadiologyLancaster, SC53

Browse doctors by specialty & city →

Does Medicare cover Kidney biopsy?

Yes — Medicare generally covers Kidney biopsy. It is typically an outpatient service under Medicare Part B, with a Medicare-approved amount of about $492. After your annual Part B deductible, you typically owe the 20% coinsurance — roughly $98 — 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 1766 US hospitals across 52 states, the typical (median) cash price is $1,871, versus a chargemaster (list) price around $3,468, a median insurer-negotiated rate of $1,800, a Medicare rate of about $492. Most cash prices fall between $708 and $4,826 — 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 1766 US hospitals is $1,871. Most hospitals fall between $708 and $4,826. Prices vary widely between hospitals, so it pays to compare before you book.
Does Medicare cover Kidney biopsy?
Yes — it is generally covered under Medicare Part B as an outpatient service (Medicare-approved amount about $492). After your Part B deductible you typically owe 20% coinsurance, unless a Medicare Advantage or Medigap plan covers it.
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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