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@gently

osvtampco, the next test is usually an MRI. We like the MRI later combined with ultrasound for a guided biopsy. LA has the big Kaiser Cancer Center but they don't list prostate. It's hard to imagine that they don't treat prostate. But you should start making some calls.
I don't think you should be talking to a PA. This PA is incorrect.
Message your general practitioner and ask them to order an MRI with and without contrast. And then schedule it on a 3Tesla.
You already know from the reading that a rise in PSA can be caused by things other than cancer. The MRI will tell you if cancer is likely or unlikely. From there they will determine if you need a biopsy.
It is better down this rabbit hole if cancer is detected early.
It's a bit scary that you had to request the PSA.
Let us know how this progresses. Best luck

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Replies to "osvtampco, the next test is usually an MRI. We like the MRI later combined with ultrasound..."

HI , I tried asking GP at Kaiser for a 3Tesla MRI as per everyones suggestion - I said that its a good way to avoid an unnecessary biopsy for possibly insignificant cancer and if not it would help later for targeting the biopsy . This was their exact response : " Please inform patient that an MRI is not appropriate for further evaluation of elevated PSA levels. He can get a second opinion from a Urologist, but he will need a biopsy. "
Anyone have any thoughts on this ? I notice that many of you guys have been able to get MRI's and other types of treatments done did you have to fight for this ...... is it your insurance covering this ? Or do you just write checks ? Do you think that maybe I have the wrong health care company ? In any event if I do decide to find an outside company and get an MRI do you know what the approximate costs are for this with what ever lab work would be required ? Thanks in advance for any input .