Exam of lung airways and sampling of lymph nodes using an endoscope and ultrasound guidance, 1-2 lymph nodes
Medicare pricing data for 3,982 providers across 50 states
This procedure has a 9.3x markup — hospitals charge $1,811 but Medicare allows only $194.58. Uninsured patients may face bills 9.3 times higher than what insurance negotiates. Prices vary significantly by location — from $170 in Tennessee to $575 in Alaska. Where you get this procedure matters more than almost any other factor. Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.
💡 What You Should Know
Exam of lung airways and sampling of lymph nodes using an endoscope and ultrasound guidance, 1-2 lymph nodes (HCPCS code 31652) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $194.58, but hospitals typically charge $1,811 — a 9.3x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $194.58, your out-of-pocket cost would be approximately $38.92. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 9.3x more than what Medicare allows for this procedure. Medicare actually pays $153.69 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $575 | $7,629 | 7 | 49 | +195.8% |
| Missouri | $226 | $1,411 | 115 | 680 | +16.2% |
| Alabama | $218 | $1,325 | 48 | 275 | +12.1% |
| New York | $218 | $2,884 | 213 | 1,431 | +11.9% |
| New Jersey | $211 | $2,333 | 81 | 554 | +8.7% |
| Wisconsin | $211 | $3,041 | 88 | 530 | +8.3% |
| Rhode Island | $209 | $1,335 | 10 | 39 | +7.6% |
| California | $204 | $2,501 | 245 | 1,672 | +4.7% |
| Maine | $203 | $676 | 18 | 46 | +4.6% |
| New Mexico | $202 | $1,904 | 12 | 50 | +3.8% |
| New Hampshire | $201 | $2,227 | 30 | 123 | +3.4% |
| Pennsylvania | $201 | $1,556 | 202 | 1,364 | +3.1% |
| South Dakota | $200 | $981 | 14 | 111 | +2.8% |
| Texas | $199 | $1,946 | 275 | 1,554 | +2.2% |
| North Dakota | $198 | $1,279 | 13 | 82 | +1.9% |
| Arkansas | $198 | $1,307 | 52 | 354 | +1.9% |
| Vermont | $198 | $4,370 | 6 | 71 | +1.6% |
| Illinois | $197 | $2,383 | 162 | 1,428 | +1.5% |
| Utah | $197 | $1,441 | 15 | 106 | +1.5% |
| North Carolina | $197 | $2,129 | 130 | 944 | +1.3% |
| Oklahoma | $194 | $1,282 | 52 | 266 | -0.3% |
| West Virginia | $192 | $793 | 44 | 195 | -1.4% |
| Oregon | $191 | $2,558 | 51 | 216 | -1.9% |
| Maryland | $191 | $1,823 | 43 | 485 | -2.1% |
| Connecticut | $190 | $1,795 | 44 | 240 | -2.3% |
| Massachusetts | $190 | $1,648 | 107 | 671 | -2.3% |
| Kansas | $190 | $1,015 | 35 | 376 | -2.5% |
| Florida | $189 | $1,377 | 263 | 1,721 | -3.0% |
| Minnesota | $189 | $2,413 | 74 | 491 | -3.0% |
| Montana | $189 | $959 | 13 | 83 | -3.1% |
| Colorado | $188 | $1,163 | 53 | 310 | -3.3% |
| Michigan | $188 | $1,164 | 159 | 797 | -3.3% |
| Idaho | $188 | $628 | 14 | 82 | -3.4% |
| Virginia | $188 | $1,884 | 129 | 839 | -3.4% |
| Louisiana | $188 | $1,316 | 58 | 319 | -3.5% |
| Ohio | $186 | $1,355 | 197 | 1,049 | -4.4% |
| Washington | $185 | $1,056 | 80 | 465 | -5.0% |
| Kentucky | $183 | $997 | 96 | 574 | -5.9% |
| Arizona | $182 | $854 | 64 | 531 | -6.6% |
| Nebraska | $180 | $2,154 | 40 | 240 | -7.4% |
| South Carolina | $178 | $1,381 | 81 | 553 | -8.3% |
| Iowa | $178 | $2,308 | 45 | 379 | -8.3% |
| Georgia | $176 | $1,953 | 129 | 918 | -9.6% |
| Nevada | $176 | $2,289 | 25 | 162 | -9.7% |
| Hawaii | $176 | $923 | 12 | 111 | -9.7% |
| Delaware | $175 | $1,776 | 12 | 179 | -9.9% |
| Indiana | $174 | $1,806 | 134 | 755 | -10.3% |
| District of Columbia | $174 | $950 | 12 | 162 | -10.6% |
| Mississippi | $172 | $1,952 | 44 | 254 | -11.6% |
| Tennessee | $170 | $1,150 | 113 | 799 | -12.8% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber