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Procedure price report · Other OR therapeutic procedures on respiratory system

Total voice box removal with neck lymph node removal

CPT 31365the billing code this page is about

Complete removal of the larynx combined with an extensive dissection to remove lymph nodes and surrounding tissue from the neck.

Hospitals typically charge $5,005 cash for this outpatient procedure — the median across 139 hospitals that filed a usable cash price; the average of the middle 60% is $5,437. Most fall between $2,964 and $9,950 (20th–80th percentile).

Hospitals
139
States
38
Filings dated
Jun 2024 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 23, 2026

Median: half of hospitals filed less, half more — and it is a price some hospital actually filed. Average of the middle 60%: the mean of the prices between the 20th and 80th percentiles. We never publish the plain average, the lowest or the highest price: the extremes in hospital price files are chargemaster artefacts, not prices anyone pays.

What hospitals charge, from cheapest to most expensive

Cash price percentiles, outpatient, across 139 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$1,953$3,509$5,005$9,139$12,548

The most expensive tenth of hospitals charges at least 6.4× what the cheapest tenth charges ($1,953 vs $12,548).

How the prices are spread

$418 – $588: 3 hospitals$418$588 – $826: 1 hospitals$826 – $1,160: 1 hospitals$826$1,160 – $1,630: 0 hospitals$1,630 – $2,291: 6 hospitals$1,630$2,291 – $3,219: 17 hospitals$3,219 – $4,523: 30 hospitals$3,219$4,523 – $6,356: 29 hospitals$6,356 – $8,930: 10 hospitals$6,356$8,930 – $12,548: 32 hospitals$8,930median $5,005price bands are equal on a log scale
Hospitals per price band (129 of 139 — the bands cover the 5th to 95th percentile)
FromToHospitals
$418$5883
$588$8261
$826$1,1601
$1,160$1,6300
$1,630$2,2916
$2,291$3,21917
$3,219$4,52330
$4,523$6,35629
$6,356$8,93010
$8,930$12,54832

By state

The median cash price in each state, against the national median of $5,005.

Alaska: 1 hospital filed a usable price — fewer than 10, so no figureAKMaine: 1 hospital filed a usable price — fewer than 10, so no figureMEVermont: 2 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 3 hospitals filed a usable price — fewer than 10, so no figureNHWashington: no hospital in the corpus filed a usable priceWAIdaho: 1 hospital filed a usable price — fewer than 10, so no figureIDMontana: 1 hospital filed a usable price — fewer than 10, so no figureMTNorth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureNDMinnesota: 1 hospital filed a usable price — fewer than 10, so no figureMNIllinois: 8 hospitals filed a usable price — fewer than 10, so no figureILWisconsin: median $12,548 across 13 hospitalsWI$12,548Michigan: median $3,201 across 10 hospitalsMI$3,201New York: 9 hospitals filed a usable price — fewer than 10, so no figureNYMassachusetts: no hospital in the corpus filed a usable priceMAOregon: no hospital in the corpus filed a usable priceORNevada: 3 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 1 hospital filed a usable price — fewer than 10, so no figureWYSouth Dakota: no hospital in the corpus filed a usable priceSDIowa: 5 hospitals filed a usable price — fewer than 10, so no figureIAIndiana: no hospital in the corpus filed a usable priceINOhio: 5 hospitals filed a usable price — fewer than 10, so no figureOHPennsylvania: median $434 across 15 hospitalsPA$434New Jersey: median $5,110 across 12 hospitalsNJ$5,110Connecticut: no hospital in the corpus filed a usable priceCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: 3 hospitals filed a usable price — fewer than 10, so no figureCAUtah: no hospital in the corpus filed a usable priceUTColorado: 1 hospital filed a usable price — fewer than 10, so no figureCONebraska: 3 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 2 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 1 hospital filed a usable price — fewer than 10, so no figureKYWest Virginia: 2 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: no hospital in the corpus filed a usable priceVAMaryland: 1 hospital filed a usable price — fewer than 10, so no figureMDDelaware: no hospital in the corpus filed a usable priceDEArizona: no hospital in the corpus filed a usable priceAZNew Mexico: 1 hospital filed a usable price — fewer than 10, so no figureNMKansas: 3 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 2 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 1 hospital filed a usable price — fewer than 10, so no figureTNNorth Carolina: 1 hospital filed a usable price — fewer than 10, so no figureNCSouth Carolina: 1 hospital filed a usable price — fewer than 10, so no figureSCOklahoma: median $4,166 across 10 hospitalsOK$4,166Louisiana: 1 hospital filed a usable price — fewer than 10, so no figureLAMississippi: no hospital in the corpus filed a usable priceMSAlabama: 2 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: 5 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: 1 hospital filed a usable price — fewer than 10, so no figureHITexas: 3 hospitals filed a usable price — fewer than 10, so no figureTXFlorida: 3 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $5,005. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Wisconsin WI13$12,548+151%$12,548 – $12,548
New Jersey NJ12$5,110+2%$4,350 – $5,855
Oklahoma OK10$4,166−17%$4,166 – $4,166
Michigan MI10$3,201−36%$3,201 – $12,548
Pennsylvania PA15$434−91%$354 – $9,950
New York NY9not enough hospitals filed a usable price
Illinois IL8not enough hospitals filed a usable price
Georgia GA5not enough hospitals filed a usable price
Iowa IA5not enough hospitals filed a usable price
Ohio OH5not enough hospitals filed a usable price
California CA3not enough hospitals filed a usable price
Florida FL3not enough hospitals filed a usable price
Kansas KS3not enough hospitals filed a usable price
Nebraska NE3not enough hospitals filed a usable price
New Hampshire NH3not enough hospitals filed a usable price
Nevada NV3not enough hospitals filed a usable price
Texas TX3not enough hospitals filed a usable price
Alabama AL2not enough hospitals filed a usable price
Arkansas AR2not enough hospitals filed a usable price
Missouri MO2not enough hospitals filed a usable price
Vermont VT2not enough hospitals filed a usable price
West Virginia WV2not enough hospitals filed a usable price
Alaska AK1not enough hospitals filed a usable price
Colorado CO1not enough hospitals filed a usable price
Hawaii HI1not enough hospitals filed a usable price
Idaho ID1not enough hospitals filed a usable price
Kentucky KY1not enough hospitals filed a usable price
Louisiana LA1not enough hospitals filed a usable price
Maryland MD1not enough hospitals filed a usable price
Maine ME1not enough hospitals filed a usable price
Minnesota MN1not enough hospitals filed a usable price
Montana MT1not enough hospitals filed a usable price
North Carolina NC1not enough hospitals filed a usable price
North Dakota ND1not enough hospitals filed a usable price
New Mexico NM1not enough hospitals filed a usable price
South Carolina SC1not enough hospitals filed a usable price
Tennessee TN1not enough hospitals filed a usable price
Wyoming WY1not enough hospitals filed a usable price

Hospitals like yours

The same distribution cut by the kind of hospital. Hospital type and ownership come from CMS; a hospital counts as part of a system when its price file is shared with at least one other hospital under the same brand. The national median is $5,005.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care112$4,570$2,947 – $9,596
Children’s5fewer than 20 hospitals
Critical access21$7,457$4,029 – $12,548
Ownership
For-profit12fewer than 20 hospitals
Government21$5,211$4,117 – $7,654
Non-profit105$5,005$2,964 – $10,091
System affiliation
Part of a system110$4,881$2,964 – $10,091
Independent29$5,005$2,947 – $7,290

Cash price vs list price

Median list price (chargemaster)$6,932
Median cash price$5,005
Cash as a share of list, median hospital65%

At the typical hospital, asking for the cash price cuts the list price by about 35%. The share is the median of each hospital’s own cash ÷ list ratio, over hospitals that filed both — not the ratio of the two medians above.

The same procedure, inpatient

102 hospitals filed a usable inpatient cash price for this code. The median is $4,570 and the average of the middle 60% is $5,606; most fall between $2,611 and $12,039.

Cash price percentiles, inpatient, across 102 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$1,953$3,104$4,570$9,601$12,548

The most expensive tenth of hospitals charges at least 6.4× what the cheapest tenth charges ($1,953 vs $12,548).

Of the 117 hospitals that filed this code inpatient, 102 gave a usable cash price; 9 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 6 a list price only.

How complete is this

139 of the 3,956 hospitals with a price file in our corpus (4%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 158 hospitals that filed this code at all gave us
Usable cash price — counted139
Cash price carrying a plausibility flag — shown on the compare tool, excluded here16
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded2
Hospitals that filed this code158

Sections not shown for this setting

  • Against Medicare: Medicare has no separately payable national outpatient (OPPS) rate for this code, so there is nothing honest to compare against.
  • Since our last snapshot: there is no earlier snapshot at least 90 days older than this one yet.

We last checked these hospitals’ price files for changes between September 4, 2026 and September 23, 2026; the figures were computed September 25, 2026 from filings loaded through September 23, 2026. The percentiles and averages use only the “counted” row.

Related procedures

Part of the Other OR therapeutic procedures on respiratory system family.

Hospitals file this code under descriptions such as Laryngectomy Total W/Radical Neck Dissection.

Method

Source
The machine-readable price files every U.S. hospital is required by CMS to publish, parsed per hospital. Nothing is surveyed, sampled or modelled.
What counts
One cash (self-pay) price per hospital for this code and setting. A hospital’s own filing can rule its number out — a placeholder, a “not applicable” note, a list price standing in for cash — and our plausibility checks can flag a price far below what every other hospital files. Both kinds are disclosed above and excluded from the statistics; on the compare tool a flagged price is still shown.
Statistics
Percentiles are discrete: each is a price some hospital filed. The average is the mean of the prices between the 20th and 80th percentiles. We never publish the plain mean, the minimum or the maximum. A state needs 10 hospitals and a segment 20 to show a figure; otherwise the row shows its count and no number. Medicare is the national unadjusted OPPS rate where one exists.
Names
Procedure names on these pages are our own plain-language titles, not the AMA’s copyrighted CPT descriptors. The code is the identity.

The full rules — sources, statistics, thresholds, limitations — are on the methodology page.

Download this page’s figures: JSON · CSV. Aggregates only — the per-hospital prices are on the compare tool.

Cite: HospitalRates.com, “Total voice box removal with neck lymph node removal (CPT 31365) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-31365-total-voice-box-removal-with-neck-lymph-node-removal