CPT 0376U Pathology/Laboratory
Test to determine potential risk of prostate cancer spread and mortality Cost
Body System: General
Medicare Facility Rate
$706
CMS PFS CY2026
Medicare Non-Facility Rate
$706
Office/clinic setting
Frequently Asked Questions
How much does Test to determine potential risk of prostate cancer spread and mortality cost?
The Medicare facility rate is $706. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does Test to determine potential risk of prostate cancer spread and mortality cost without insurance?
Without insurance, you may pay the hospital's chargemaster rate, which is often 300-500% of Medicare. Ask about cash-pay discounts — many facilities offer 20-40% off for self-pay patients. The Medicare baseline for this procedure is $706.