Removal of lymph nodes of chest cavity using an endoscope
Medicare pricing data for 2,384 providers across 49 states
Prices vary significantly by location — from $93 in Montana to $224 in Puerto Rico. 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
Removal of lymph nodes of chest cavity using an endoscope (HCPCS code 32674) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $160.82, but hospitals typically charge $776.30 — a 4.8x 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 $160.82, your out-of-pocket cost would be approximately $32.16. 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 4.8x more than what Medicare allows for this procedure. Medicare actually pays $128.42 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Puerto Rico | $224 | $989 | 1 | 11 | +39.3% |
| District of Columbia | $210 | $702 | 7 | 88 | +30.7% |
| Alaska | $205 | $1,607 | 5 | 18 | +27.5% |
| Hawaii | $201 | $576 | 4 | 44 | +25.2% |
| New York | $196 | $1,399 | 192 | 2,070 | +21.7% |
| Vermont | $194 | $1,031 | 1 | 17 | +20.7% |
| Oklahoma | $193 | $570 | 13 | 46 | +20.3% |
| Rhode Island | $191 | $622 | 3 | 36 | +18.5% |
| Virginia | $187 | $586 | 50 | 410 | +16.4% |
| Michigan | $180 | $650 | 80 | 431 | +11.6% |
| Illinois | $175 | $1,078 | 69 | 999 | +8.7% |
| Massachusetts | $174 | $856 | 88 | 1,162 | +8.4% |
| Delaware | $172 | $546 | 10 | 135 | +7.1% |
| Arkansas | $172 | $460 | 20 | 75 | +6.8% |
| Maryland | $170 | $612 | 43 | 553 | +5.7% |
| Tennessee | $166 | $511 | 44 | 427 | +3.0% |
| Texas | $165 | $772 | 137 | 852 | +2.9% |
| California | $165 | $647 | 181 | 1,531 | +2.8% |
| Georgia | $165 | $762 | 56 | 464 | +2.6% |
| Missouri | $164 | $606 | 43 | 293 | +2.1% |
| Kansas | $163 | $548 | 27 | 175 | +1.5% |
| New Jersey | $162 | $861 | 46 | 569 | +1.0% |
| Mississippi | $162 | $1,061 | 12 | 53 | +0.5% |
| Florida | $160 | $652 | 203 | 1,875 | -0.8% |
| West Virginia | $159 | $534 | 25 | 152 | -0.9% |
| Pennsylvania | $159 | $581 | 129 | 1,129 | -1.3% |
| Ohio | $157 | $675 | 91 | 746 | -2.1% |
| Connecticut | $157 | $721 | 35 | 267 | -2.2% |
| Minnesota | $155 | $1,012 | 33 | 274 | -3.4% |
| Kentucky | $154 | $528 | 36 | 260 | -4.2% |
| Nevada | $152 | $727 | 14 | 65 | -5.6% |
| Iowa | $151 | $741 | 19 | 74 | -5.9% |
| Maine | $147 | $408 | 14 | 86 | -8.6% |
| Alabama | $147 | $529 | 20 | 148 | -8.6% |
| South Carolina | $144 | $535 | 51 | 323 | -10.7% |
| Washington | $140 | $536 | 78 | 684 | -12.7% |
| Louisiana | $139 | $476 | 45 | 187 | -13.5% |
| Indiana | $139 | $491 | 67 | 328 | -13.8% |
| New Hampshire | $134 | $1,453 | 22 | 225 | -16.7% |
| North Carolina | $132 | $552 | 88 | 857 | -18.0% |
| Arizona | $129 | $650 | 46 | 436 | -20.0% |
| Idaho | $126 | $430 | 13 | 91 | -21.5% |
| Colorado | $123 | $596 | 37 | 315 | -23.5% |
| Utah | $121 | $323 | 18 | 86 | -24.7% |
| Nebraska | $121 | $368 | 23 | 187 | -25.0% |
| Wisconsin | $119 | $1,883 | 57 | 411 | -25.9% |
| Oregon | $118 | $430 | 40 | 320 | -26.9% |
| North Dakota | $100 | $529 | 7 | 41 | -37.8% |
| Montana | $93 | $348 | 13 | 62 | -41.9% |
⚠️ 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