OBJECTIVES: Clinically significant prostate cancer is characterized by the growth of a tumor of more than 20 cc of cancerous cells within the prostate gland. Literature suggests significant disparities in prostate cancer prevalence and outcomes between Whites and African-Americans resulting in greater health services utilization. This study assessed the count of healthcare visits between White and African American prostate cancer patients. METHODS: This cross-sectional study used data from the 2010 Medical Expenditure Panel Survey. Negative binomial regression models were used to estimate the count of health services including emergency department visits, outpatient services and inpatient services associated with race in patients with prostate cancer while controlling for age and count of comorbidities. Patients who were not White or African-American were excluded due to the small numbers. RESULTS: The total sample consisted of 141 patients, of which 104 were White and 37 were African-Americans. Being White was associated with 43% less use of emergency services compared to being an African American while adjusting for age and comorbidities (IRR 0.57; 95% CI 0.33-0.97).  Similarly, being White was associated with a 44% lower count of outpatient service use (IRR 0.56; 95% CI 0.32-0.99). No difference was found with inpatient services, most likely due to a low number of events. CONCLUSIONS: Being White was associated with less emergency and routine healthcare visits compared to being an African American, suggesting a disparity may exist among prostate cancer patients. More research should explore the sources of the disparity and whether this translates into other healthcare services like access to treatments.