38900

Imaging of lymph nodes during surgery

Medicare pricing data for 6,826 providers across 51 states

🤖AI Overview

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

Imaging of lymph nodes during surgery (HCPCS code 38900) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $138.97, but hospitals typically charge $530.20 — a 3.8x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$27.79

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $138.97, your out-of-pocket cost would be approximately $27.79. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$138.97
Average Hospital Charge
$530.20
Markup Ratio
3.8x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$530.20
Medicare Allowed$138.97
Medicare Payment$110.97

Hospitals charge 3.8x more than what Medicare allows for this procedure. Medicare actually pays $110.97 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$172$1,44516109+23.7%
District of Columbia$163$53922313+17.1%
New York$161$8374502,933+15.6%
Connecticut$153$58093591+9.8%
Illinois$151$6612442,104+8.4%
New Jersey$149$6241451,013+7.1%
Maryland$148$441981,230+6.6%
Florida$147$4794904,148+5.8%
Michigan$146$4312131,212+5.3%
New Hampshire$145$1,12440337+4.6%
Rhode Island$143$48928161+3.2%
Virginia$143$3861591,819+2.9%
West Virginia$143$41331157+2.6%
Pennsylvania$141$4503032,361+1.7%
Maine$141$39436198+1.5%
Massachusetts$141$5601811,328+1.5%
Louisiana$140$430100703+0.9%
California$140$5416184,999+0.5%
Missouri$139$4931301,244+0.1%
Georgia$139$4811911,378-0.3%
Nevada$139$51726302-0.3%
Ohio$138$4662991,920-0.5%
Montana$137$48838247-1.5%
Texas$137$6154483,474-1.7%
Hawaii$136$41827171-2.1%
Colorado$135$462112785-2.5%
Kentucky$135$384101547-2.9%
Washington$135$4241881,495-3.1%
Oklahoma$135$36756609-3.2%
New Mexico$134$45042236-3.5%
Delaware$134$34023187-3.5%
Wyoming$132$7201046-5.1%
Arizona$131$4251411,447-5.6%
South Carolina$130$442107887-6.2%
Alabama$130$394108623-6.4%
North Carolina$130$4362411,880-6.5%
Oregon$129$417112717-7.0%
Utah$129$38767468-7.2%
Tennessee$128$4261471,126-7.5%
Minnesota$128$680161934-8.2%
Vermont$127$57717167-8.3%
Kansas$127$39880606-8.6%
Indiana$127$4621431,197-8.7%
Iowa$127$50066479-8.8%
North Dakota$126$38529160-9.3%
Mississippi$124$41673495-10.8%
Arkansas$122$45752483-12.6%
Wisconsin$120$1,370166986-14.0%
South Dakota$118$32933273-15.3%
Idaho$116$33532271-16.6%
Nebraska$106$32350385-23.8%

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

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