32408

Core needle biopsy of lung or center cavity of chest (mediastinum), accessed through skin

Medicare pricing data for 6,421 providers across 52 states

🤖AI Overview

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

$32.91

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.

Average Allowed Cost
$164.53
Average Hospital Charge
$1,208
Markup Ratio
7.3x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$1,208.20
Medicare Allowed$164.53
Medicare Payment$128.98

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

StateAllowed CostHospital ChargeProvidersServicesvs. National
New Mexico$253$1,42240274+53.8%
Tennessee$222$1,1401441,071+35.0%
Arkansas$209$1,16466853+26.8%
Nevada$204$1,24271368+23.8%
Alaska$199$1,17122132+21.2%
California$191$1,5885584,663+16.1%
New York$189$1,9003383,053+15.0%
Nebraska$187$90941556+13.8%
Florida$177$1,3104533,573+7.8%
Maryland$173$713107951+5.3%
Washington$171$6741241,051+4.0%
Michigan$161$8752051,520-1.9%
Kansas$161$72068608-2.4%
Texas$160$1,1664513,593-2.9%
New Jersey$157$1,0301551,052-4.4%
Illinois$156$1,4902642,140-5.2%
District of Columbia$155$95418144-5.7%
Connecticut$155$78387443-5.8%
Massachusetts$152$9351521,291-7.3%
Minnesota$152$1,257161987-7.6%
Pennsylvania$151$9292952,134-8.2%
Colorado$150$902122552-9.1%
New Hampshire$149$1,18530254-9.5%
Georgia$149$9581911,261-9.5%
Vermont$149$3,22517166-9.5%
Montana$148$89828167-10.0%
Delaware$148$45919171-10.0%
Louisiana$147$89896638-10.4%
Virginia$147$9661701,574-10.9%
Ohio$147$1,5992551,760-10.9%
Oregon$146$63281561-11.0%
Maine$146$60338163-11.3%
Rhode Island$146$70937232-11.4%
West Virginia$146$56933378-11.4%
Wyoming$145$48315100-11.7%
Missouri$145$7891391,347-11.8%
Hawaii$145$8662366-11.9%
Arizona$145$1,2811291,270-12.1%
Puerto Rico$145$5051541-12.2%
North Dakota$144$1,98318269-12.5%
Indiana$144$1,0911491,090-12.6%
Utah$144$65344303-12.7%
Alabama$143$89295558-13.1%
Oklahoma$143$95374737-13.4%
South Dakota$142$1,87721352-13.6%
Idaho$142$79039217-14.0%
Kentucky$141$78289688-14.2%
Mississippi$141$71755602-14.4%
North Carolina$141$1,0702261,149-14.4%
South Carolina$141$1,48898808-14.4%
Iowa$140$1,04262695-14.7%
Wisconsin$140$2,373159968-15.0%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

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