Core needle biopsy of lung or center cavity of chest (mediastinum), accessed through skin
Medicare pricing data for 6,421 providers across 52 states
This procedure has a 7.3x markup — hospitals charge $1,208 but Medicare allows only $164.53. Uninsured patients may face bills 7.3 times higher than what insurance negotiates. 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
Core needle biopsy of lung or center cavity of chest (mediastinum), accessed through skin (HCPCS code 32408) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $164.53, but hospitals typically charge $1,208 — a 7.3x 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 $164.53, your out-of-pocket cost would be approximately $32.91. 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 7.3x more than what Medicare allows for this procedure. Medicare actually pays $128.98 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| New Mexico | $253 | $1,422 | 40 | 274 | +53.8% |
| Tennessee | $222 | $1,140 | 144 | 1,071 | +35.0% |
| Arkansas | $209 | $1,164 | 66 | 853 | +26.8% |
| Nevada | $204 | $1,242 | 71 | 368 | +23.8% |
| Alaska | $199 | $1,171 | 22 | 132 | +21.2% |
| California | $191 | $1,588 | 558 | 4,663 | +16.1% |
| New York | $189 | $1,900 | 338 | 3,053 | +15.0% |
| Nebraska | $187 | $909 | 41 | 556 | +13.8% |
| Florida | $177 | $1,310 | 453 | 3,573 | +7.8% |
| Maryland | $173 | $713 | 107 | 951 | +5.3% |
| Washington | $171 | $674 | 124 | 1,051 | +4.0% |
| Michigan | $161 | $875 | 205 | 1,520 | -1.9% |
| Kansas | $161 | $720 | 68 | 608 | -2.4% |
| Texas | $160 | $1,166 | 451 | 3,593 | -2.9% |
| New Jersey | $157 | $1,030 | 155 | 1,052 | -4.4% |
| Illinois | $156 | $1,490 | 264 | 2,140 | -5.2% |
| District of Columbia | $155 | $954 | 18 | 144 | -5.7% |
| Connecticut | $155 | $783 | 87 | 443 | -5.8% |
| Massachusetts | $152 | $935 | 152 | 1,291 | -7.3% |
| Minnesota | $152 | $1,257 | 161 | 987 | -7.6% |
| Pennsylvania | $151 | $929 | 295 | 2,134 | -8.2% |
| Colorado | $150 | $902 | 122 | 552 | -9.1% |
| New Hampshire | $149 | $1,185 | 30 | 254 | -9.5% |
| Georgia | $149 | $958 | 191 | 1,261 | -9.5% |
| Vermont | $149 | $3,225 | 17 | 166 | -9.5% |
| Montana | $148 | $898 | 28 | 167 | -10.0% |
| Delaware | $148 | $459 | 19 | 171 | -10.0% |
| Louisiana | $147 | $898 | 96 | 638 | -10.4% |
| Virginia | $147 | $966 | 170 | 1,574 | -10.9% |
| Ohio | $147 | $1,599 | 255 | 1,760 | -10.9% |
| Oregon | $146 | $632 | 81 | 561 | -11.0% |
| Maine | $146 | $603 | 38 | 163 | -11.3% |
| Rhode Island | $146 | $709 | 37 | 232 | -11.4% |
| West Virginia | $146 | $569 | 33 | 378 | -11.4% |
| Wyoming | $145 | $483 | 15 | 100 | -11.7% |
| Missouri | $145 | $789 | 139 | 1,347 | -11.8% |
| Hawaii | $145 | $866 | 23 | 66 | -11.9% |
| Arizona | $145 | $1,281 | 129 | 1,270 | -12.1% |
| Puerto Rico | $145 | $505 | 15 | 41 | -12.2% |
| North Dakota | $144 | $1,983 | 18 | 269 | -12.5% |
| Indiana | $144 | $1,091 | 149 | 1,090 | -12.6% |
| Utah | $144 | $653 | 44 | 303 | -12.7% |
| Alabama | $143 | $892 | 95 | 558 | -13.1% |
| Oklahoma | $143 | $953 | 74 | 737 | -13.4% |
| South Dakota | $142 | $1,877 | 21 | 352 | -13.6% |
| Idaho | $142 | $790 | 39 | 217 | -14.0% |
| Kentucky | $141 | $782 | 89 | 688 | -14.2% |
| Mississippi | $141 | $717 | 55 | 602 | -14.4% |
| North Carolina | $141 | $1,070 | 226 | 1,149 | -14.4% |
| South Carolina | $141 | $1,488 | 98 | 808 | -14.4% |
| Iowa | $140 | $1,042 | 62 | 695 | -14.7% |
| Wisconsin | $140 | $2,373 | 159 | 968 | -15.0% |
⚠️ 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