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Procedure price report · Diagnostic bronchoscopy and biopsy of bronchus

Ultrasound-guided bronchoscopy biopsy, 3 or more stations

CPT 31653the billing code this page is about

A scope with an ultrasound probe is used to sample lymph nodes or other structures next to the airways; this code applies when three or more node stations are sampled.

Hospitals typically charge $4,280 cash for this outpatient procedure — the median across 1,064 hospitals that filed a usable cash price; the average of the middle 60% is $4,269. Most fall between $2,066 and $7,346 (20th–80th percentile).

Hospitals
1,064
States
49
Filings dated
Jun 2024 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 24, 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 1,064 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
$1,220$2,364$4,280$6,465$11,024

The most expensive tenth of hospitals charges at least 9.0× what the cheapest tenth charges ($1,220 vs $11,024).

How the prices are spread

$672 – $915: 19 hospitals$672$915 – $1,247: 36 hospitals$1,247 – $1,698: 57 hospitals$1,247$1,698 – $2,312: 83 hospitals$2,312 – $3,149: 141 hospitals$2,312$3,149 – $4,289: 153 hospitals$4,289 – $5,842: 205 hospitals$4,289$5,842 – $7,956: 118 hospitals$7,956 – $10,835: 90 hospitals$7,956$10,835 – $14,757: 56 hospitals$10,835median $4,280price bands are equal on a log scale
Hospitals per price band (958 of 1,064 — the bands cover the 5th to 95th percentile)
FromToHospitals
$672$91519
$915$1,24736
$1,247$1,69857
$1,698$2,31283
$2,312$3,149141
$3,149$4,289153
$4,289$5,842205
$5,842$7,956118
$7,956$10,83590
$10,835$14,75756

Against Medicare

Medicare pays (OPPS 2026, national rate)$3,809
Median cash price$4,280
Cash as a multiple of Medicare1.12×

The Medicare figure is the national unadjusted OPPS rate for this code — what Medicare itself pays a hospital before local wage adjustment. It is a benchmark, not a price anyone is charged.

By state

The median cash price in each state, against the national median of $4,280.

Alaska: 1 hospital filed a usable price — fewer than 10, so no figureAKMaine: 3 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 4 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 8 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $4,746 across 25 hospitalsWA$4,746Idaho: median $9,904 across 10 hospitalsID$9,904Montana: 4 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 5 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $3,398 across 29 hospitalsMN$3,398Illinois: median $3,017 across 46 hospitalsIL$3,017Wisconsin: median $3,116 across 34 hospitalsWI$3,116Michigan: median $1,109 across 35 hospitalsMI$1,109New York: median $4,534 across 60 hospitalsNY$4,534Massachusetts: median $8,938 across 29 hospitalsMA$8,938Oregon: median $2,504 across 16 hospitalsOR$2,504Nevada: 3 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 2 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: no hospital in the corpus filed a usable priceSDIowa: median $2,804 across 25 hospitalsIA$2,804Indiana: median $8,736 across 19 hospitalsIN$8,736Ohio: median $6,748 across 71 hospitalsOH$6,748Pennsylvania: median $6,155 across 57 hospitalsPA$6,155New Jersey: median $4,837 across 41 hospitalsNJ$4,837Connecticut: median $4,541 across 12 hospitalsCT$4,541Rhode Island: 4 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $4,927 across 85 hospitalsCA$4,927Utah: median $9,774 across 23 hospitalsUT$9,774Colorado: median $3,880 across 26 hospitalsCO$3,880Nebraska: median $2,298 across 15 hospitalsNE$2,298Missouri: median $3,034 across 34 hospitalsMO$3,034Kentucky: median $3,252 across 13 hospitalsKY$3,252West Virginia: 9 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: median $2,964 across 20 hospitalsVA$2,964Maryland: 3 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 3 hospitals filed a usable price — fewer than 10, so no figureDEArizona: 6 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 7 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 5 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: median $1,584 across 13 hospitalsAR$1,584Tennessee: median $2,066 across 19 hospitalsTN$2,066North Carolina: median $2,112 across 18 hospitalsNC$2,112South Carolina: median $4,280 across 20 hospitalsSC$4,280Oklahoma: median $1,595 across 16 hospitalsOK$1,595Louisiana: median $2,642 across 24 hospitalsLA$2,642Mississippi: median $3,259 across 15 hospitalsMS$3,259Alabama: 8 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $3,668 across 46 hospitalsGA$3,668Hawaii: 3 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $2,981 across 50 hospitalsTX$2,981Florida: median $5,262 across 40 hospitalsFL$5,262
Cash price by state, most expensive first. National median $4,280. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Idaho ID10$9,904+131%$3,000 – $9,904
Utah UT23$9,774+128%$9,260 – $10,288
Massachusetts MA29$8,938+109%$2,441 – $13,135
Indiana IN19$8,736+104%$1,061 – $16,930
Ohio OH71$6,748+58%$5,517 – $11,024
Pennsylvania PA57$6,155+44%$3,667 – $8,557
Florida FL40$5,262+23%$3,294 – $7,001
California CA85$4,927+15%$3,508 – $5,611
New Jersey NJ41$4,837+13%$4,084 – $8,819
Washington WA25$4,746+11%$2,250 – $5,702
Connecticut CT12$4,541+6%$1,345 – $12,586
New York NY60$4,534+6%$1,699 – $7,184
South Carolina SC20$4,2800%$4,280 – $4,916
Colorado CO26$3,880−9%$2,219 – $4,111
Georgia GA46$3,668−14%$2,391 – $6,602
Minnesota MN29$3,398−21%$1,866 – $4,549
Mississippi MS15$3,259−24%$1,989 – $4,443
Kentucky KY13$3,252−24%$1,061 – $14,805
Wisconsin WI34$3,116−27%$2,364 – $4,962
Missouri MO34$3,034−29%$1,739 – $5,469
Illinois IL46$3,017−30%$1,330 – $6,797
Texas TX50$2,981−30%$1,762 – $5,916
Virginia VA20$2,964−31%$2,843 – $12,074
Iowa IA25$2,804−34%$1,711 – $7,086
Louisiana LA24$2,642−38%$1,534 – $4,172
Oregon OR16$2,504−41%$2,250 – $8,845
Nebraska NE15$2,298−46%$1,457 – $2,667
North Carolina NC18$2,112−51%$1,296 – $4,909
Tennessee TN19$2,066−52%$1,275 – $9,637
Oklahoma OK16$1,595−63%$1,595 – $4,270
Arkansas AR13$1,584−63%$1,301 – $5,310
Michigan MI35$1,109−74%$438 – $5,127
West Virginia WV9not enough hospitals filed a usable price
Alabama AL8not enough hospitals filed a usable price
New Hampshire NH8not enough hospitals filed a usable price
New Mexico NM7not enough hospitals filed a usable price
Arizona AZ6not enough hospitals filed a usable price
Kansas KS5not enough hospitals filed a usable price
North Dakota ND5not enough hospitals filed a usable price
Montana MT4not enough hospitals filed a usable price
Rhode Island RI4not enough hospitals filed a usable price
Vermont VT4not enough hospitals filed a usable price
Delaware DE3not enough hospitals filed a usable price
Hawaii HI3not enough hospitals filed a usable price
Maryland MD3not enough hospitals filed a usable price
Maine ME3not enough hospitals filed a usable price
Nevada NV3not enough hospitals filed a usable price
Wyoming WY2not enough hospitals filed a usable price
Alaska AK1not 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 $4,280.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care944$4,280$2,113 – $7,778
Children’s10fewer than 20 hospitals
Critical access104$4,115$1,538 – $6,884
Ownership
For-profit85$3,925$1,595 – $7,816
Government139$3,978$1,844 – $6,264
Non-profit834$4,280$2,229 – $7,964
System affiliation
Part of a system916$4,316$2,250 – $7,517
Independent148$3,465$716 – $7,282

Cash price vs list price

Median list price (chargemaster)$7,349
Median cash price$4,280
Cash as a share of list, median hospital60%

At the typical hospital, asking for the cash price cuts the list price by about 40%. 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

769 hospitals filed a usable inpatient cash price for this code. The median is $4,017 and the average of the middle 60% is $4,052; most fall between $1,844 and $6,758.

Cash price percentiles, inpatient, across 769 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
$902$2,250$4,017$6,155$9,699

The most expensive tenth of hospitals charges at least 11× what the cheapest tenth charges ($902 vs $9,699).

Of the 829 hospitals that filed this code inpatient, 769 gave a usable cash price; 31 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 29 a list price only.

How complete is this

1,064 of the 3,956 hospitals with a price file in our corpus (27%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,148 hospitals that filed this code at all gave us
Usable cash price — counted1,064
Cash price carrying a plausibility flag — shown on the compare tool, excluded here50
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded5
A list price only, no cash figure — excluded29
Hospitals that filed this code1,148

Sections not shown for this setting

  • 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 24, 2026; the figures were computed September 25, 2026 from filings loaded through September 24, 2026. The percentiles and averages use only the “counted” row.

Related procedures

Part of the Diagnostic bronchoscopy and biopsy of bronchus family.

Hospitals file this code under descriptions such as Brnchsc Ebus Guided Sampl 3/> Node Station/Strux.

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, “Ultrasound-guided bronchoscopy biopsy, 3 or more stations (CPT 31653) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-31653-ultrasound-guided-bronchoscopy-biopsy-3-or-more-stations