Cap, my 12 core biopsy done at a doctor's office was billed at $880 ($645) plus $150 ($130) several days later to deliver the bad news, plus $2280 ($840) for the Pathology at Bostwick in PHX.
The insurance negotiated rates that they or I payed (deductable not met) are in parentheses. I can speak VERY highly for the Bostwick report, and since you are making major decisions based on those few sheets of paper, why settle for questionable reporting. My surgery pathology was not confidence building. They didn't even report the weight of the gland.
Recently I sort of reached the end of the streaming bills and loaded them in a spreadsheet to total close to $70k. The final payouts by me or insurance was a quarter of that! Keep asking your doctor or pathology lab for the cash price and you may find some reprieve.
Also on the USTOO webinar last week for Understanding Diagnostic testing the presenter referred to positive DRE's leading to PCa half the time, which was a suprisingly low number to hear.
Remember that getting the biopsy may be a dry run for vetting the Urologist and/or a Surgeon, so while you might save a little money with a foreign vacation, you start from scratch if the biopsy is positive.