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Procedure price report · Other diagnostic ultrasound or optical coherence tomography (OCT)

Airway ultrasound to reach a peripheral lung spot, add-on

CPT 31654the billing code this page is about

Add-on service during a bronchoscopy in which an ultrasound probe is passed through the scope to locate and work on a lesion in the outer part of the lung.

Hospitals typically charge $1,745 cash for this outpatient procedure — the median across 868 hospitals that filed a usable cash price; the average of the middle 60% is $1,776. Most fall between $309 and $3,630 (20th–80th percentile).

Hospitals
868
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 868 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
$172$532$1,745$3,068$5,764

The most expensive tenth of hospitals charges at least 34× what the cheapest tenth charges ($172 vs $5,764).

How the prices are spread

$135 – $215: 78 hospitals$135$215 – $341: 62 hospitals$341 – $541: 35 hospitals$341$541 – $859: 74 hospitals$859 – $1,363: 93 hospitals$859$1,363 – $2,164: 116 hospitals$2,164 – $3,436: 178 hospitals$2,164$3,436 – $5,454: 101 hospitals$5,454 – $8,659: 31 hospitals$5,454$8,659 – $13,747: 14 hospitals$8,659median $1,745price bands are equal on a log scale
Hospitals per price band (782 of 868 — the bands cover the 5th to 95th percentile)
FromToHospitals
$135$21578
$215$34162
$341$54135
$541$85974
$859$1,36393
$1,363$2,164116
$2,164$3,436178
$3,436$5,454101
$5,454$8,65931
$8,659$13,74714

By state

The median cash price in each state, against the national median of $1,745.

Alaska: 1 hospital filed a usable price — fewer than 10, so no figureAKMaine: 2 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 3 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 6 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $1,309 across 19 hospitalsWA$1,309Idaho: 7 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 4 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 4 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $2,408 across 25 hospitalsMN$2,408Illinois: median $1,137 across 43 hospitalsIL$1,137Wisconsin: median $574 across 33 hospitalsWI$574Michigan: median $151 across 33 hospitalsMI$151New York: median $2,619 across 43 hospitalsNY$2,619Massachusetts: median $1,718 across 14 hospitalsMA$1,718Oregon: median $229 across 14 hospitalsOR$229Nevada: 1 hospital 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: median $304 across 25 hospitalsIA$304Indiana: median $1,392 across 29 hospitalsIN$1,392Ohio: median $3,205 across 53 hospitalsOH$3,205Pennsylvania: median $2,052 across 42 hospitalsPA$2,052New Jersey: median $4,461 across 26 hospitalsNJ$4,461Connecticut: median $906 across 10 hospitalsCT$906Rhode Island: 2 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $1,943 across 75 hospitalsCA$1,943Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: median $3,442 across 25 hospitalsCO$3,442Nebraska: median $965 across 16 hospitalsNE$965Missouri: median $1,094 across 29 hospitalsMO$1,094Kentucky: median $2,393 across 13 hospitalsKY$2,393West Virginia: 8 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: median $2,964 across 21 hospitalsVA$2,964Maryland: 2 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: 6 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 4 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: median $942 across 10 hospitalsAR$942Tennessee: median $438 across 10 hospitalsTN$438North Carolina: median $780 across 14 hospitalsNC$780South Carolina: median $2,666 across 18 hospitalsSC$2,666Oklahoma: median $144 across 14 hospitalsOK$144Louisiana: median $666 across 18 hospitalsLA$666Mississippi: 9 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 8 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $2,080 across 44 hospitalsGA$2,080Hawaii: 2 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $2,626 across 37 hospitalsTX$2,626Florida: median $1,444 across 35 hospitalsFL$1,444
Cash price by state, most expensive first. National median $1,745. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
New Jersey NJ26$4,461+156%$3,100 – $5,741
Colorado CO25$3,442+97%$1,417 – $3,717
Ohio OH53$3,205+84%$1,992 – $11,627
Virginia VA21$2,964+70%$660 – $2,964
South Carolina SC18$2,666+53%$1,942 – $2,666
Texas TX37$2,626+51%$1,339 – $2,911
New York NY43$2,619+50%$146 – $4,595
Minnesota MN25$2,408+38%$790 – $4,030
Kentucky KY13$2,393+37%$179 – $2,750
Georgia GA44$2,080+19%$1,603 – $4,812
Pennsylvania PA42$2,052+18%$1,015 – $3,038
California CA75$1,943+11%$692 – $3,630
Massachusetts MA14$1,718−2%$269 – $6,053
Florida FL35$1,444−17%$1,088 – $6,236
Indiana IN29$1,392−20%$310 – $16,134
Washington WA19$1,309−25%$352 – $2,998
Illinois IL43$1,137−35%$288 – $3,362
Missouri MO29$1,094−37%$179 – $2,997
Nebraska NE16$965−45%$203 – $1,129
Arkansas AR10$942−46%$199 – $1,436
Connecticut CT10$906−48%$345 – $3,386
North Carolina NC14$780−55%$762 – $3,210
Louisiana LA18$666−62%$261 – $2,032
Wisconsin WI33$574−67%$556 – $3,715
Tennessee TN10$438−75%$99 – $1,642
Iowa IA25$304−83%$245 – $2,681
Oregon OR14$229−87%$217 – $1,598
Michigan MI33$151−91%$105 – $556
Oklahoma OK14$144−92%$144 – $1,413
Mississippi MS9not enough hospitals filed a usable price
Alabama AL8not enough hospitals filed a usable price
West Virginia WV8not enough hospitals filed a usable price
Idaho ID7not enough hospitals filed a usable price
Arizona AZ6not enough hospitals filed a usable price
New Hampshire NH6not enough hospitals filed a usable price
New Mexico NM6not enough hospitals filed a usable price
Kansas KS4not enough hospitals filed a usable price
Montana MT4not enough hospitals filed a usable price
North Dakota ND4not enough hospitals filed a usable price
Delaware DE3not enough hospitals filed a usable price
Vermont VT3not enough hospitals filed a usable price
Hawaii HI2not enough hospitals filed a usable price
Maryland MD2not enough hospitals filed a usable price
Maine ME2not enough hospitals filed a usable price
Rhode Island RI2not enough hospitals filed a usable price
Alaska AK1not enough hospitals filed a usable price
Nevada NV1not enough hospitals filed a usable price
Utah UT1not 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 $1,745.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care771$1,800$316 – $3,715
Children’s7fewer than 20 hospitals
Critical access85$1,418$229 – $3,197
Ownership
For-profit68$2,080$441 – $4,461
Government100$1,603$329 – $2,998
Non-profit695$1,812$304 – $3,644
System affiliation
Part of a system760$1,943$352 – $3,715
Independent108$1,017$169 – $2,951

Cash price vs list price

Median list price (chargemaster)$2,959
Median cash price$1,745
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

636 hospitals filed a usable inpatient cash price for this code. The median is $1,500 and the average of the middle 60% is $1,573; most fall between $280 and $2,964.

Cash price percentiles, inpatient, across 636 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
$168$349$1,500$2,702$3,949

The most expensive tenth of hospitals charges at least 24× what the cheapest tenth charges ($168 vs $3,949).

Of the 704 hospitals that filed this code inpatient, 636 gave a usable cash price; 33 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 35 a list price only.

How complete is this

868 of the 3,956 hospitals with a price file in our corpus (22%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 990 hospitals that filed this code at all gave us
Usable cash price — counted868
Cash price carrying a plausibility flag — shown on the compare tool, excluded here55
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded4
A list price only, no cash figure — excluded62
Hospitals that filed this code990

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 24, 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 diagnostic ultrasound or optical coherence tomography (OCT) family.

Hospitals file this code under descriptions such as Brnschsc Tndsc Ebus Dx/Tx Intervention Perph Les.

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, “Airway ultrasound to reach a peripheral lung spot, add-on (CPT 31654) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-31654-airway-ultrasound-to-reach-a-peripheral-lung-spot-add-on