HRHospitalRates.comCompare prices

Procedure price report · Other diagnostic procedures on lung and bronchus

Core needle biopsy of the lung or mid-chest, with imaging

CPT 32408the billing code this page is about

A hollow needle is guided through the skin using imaging to remove a core of tissue from the lung or the area between the lungs for testing.

Hospitals typically charge $2,229 cash for this outpatient procedure — the median across 2,221 hospitals that filed a usable cash price; the average of the middle 60% is $2,383. Most fall between $1,207 and $4,041 (20th–80th percentile).

Hospitals
2,221
States
50
Filings dated
Jan 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 2,221 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
$764$1,384$2,229$3,656$4,986

The most expensive tenth of hospitals charges at least 6.5× what the cheapest tenth charges ($764 vs $4,986).

How the prices are spread

$412 – $539: 39 hospitals$412$539 – $706: 62 hospitals$706 – $923: 70 hospitals$706$923 – $1,208: 163 hospitals$1,208 – $1,580: 232 hospitals$1,208$1,580 – $2,066: 333 hospitals$2,066 – $2,703: 313 hospitals$2,066$2,703 – $3,536: 322 hospitals$3,536 – $4,626: 277 hospitals$3,536$4,626 – $6,052: 188 hospitals$4,626median $2,229price bands are equal on a log scale
Hospitals per price band (1,999 of 2,221 — the bands cover the 5th to 95th percentile)
FromToHospitals
$412$53939
$539$70662
$706$92370
$923$1,208163
$1,208$1,580232
$1,580$2,066333
$2,066$2,703313
$2,703$3,536322
$3,536$4,626277
$4,626$6,052188

Against Medicare

Medicare pays (OPPS 2026, national rate)$1,687
Median cash price$2,229
Cash as a multiple of Medicare1.32×

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 $2,229.

Alaska: median $2,924 across 12 hospitalsAK$2,924Maine: median $2,131 across 12 hospitalsME$2,131Vermont: 6 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: median $2,137 across 13 hospitalsNH$2,137Washington: median $2,511 across 55 hospitalsWA$2,511Idaho: median $2,577 across 16 hospitalsID$2,577Montana: median $1,441 across 15 hospitalsMT$1,441North Dakota: median $2,162 across 10 hospitalsND$2,162Minnesota: median $1,783 across 56 hospitalsMN$1,783Illinois: median $2,802 across 92 hospitalsIL$2,802Wisconsin: median $1,415 across 86 hospitalsWI$1,415Michigan: median $1,720 across 74 hospitalsMI$1,720New York: median $2,880 across 89 hospitalsNY$2,880Massachusetts: median $2,228 across 39 hospitalsMA$2,228Oregon: median $3,456 across 42 hospitalsOR$3,456Nevada: median $1,796 across 13 hospitalsNV$1,796Wyoming: median $1,359 across 11 hospitalsWY$1,359South Dakota: median $3,326 across 11 hospitalsSD$3,326Iowa: median $2,009 across 30 hospitalsIA$2,009Indiana: median $2,387 across 71 hospitalsIN$2,387Ohio: median $3,763 across 118 hospitalsOH$3,763Pennsylvania: median $3,053 across 100 hospitalsPA$3,053New Jersey: median $2,162 across 57 hospitalsNJ$2,162Connecticut: median $3,012 across 20 hospitalsCT$3,012Rhode Island: 8 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $3,018 across 174 hospitalsCA$3,018Utah: median $1,384 across 27 hospitalsUT$1,384Colorado: median $2,436 across 50 hospitalsCO$2,436Nebraska: median $1,600 across 26 hospitalsNE$1,600Missouri: median $2,003 across 53 hospitalsMO$2,003Kentucky: median $2,018 across 26 hospitalsKY$2,018West Virginia: median $2,273 across 23 hospitalsWV$2,273Virginia: median $2,010 across 47 hospitalsVA$2,010Maryland: 7 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 6 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $2,197 across 38 hospitalsAZ$2,197New Mexico: median $1,935 across 14 hospitalsNM$1,935Kansas: median $1,372 across 35 hospitalsKS$1,372Arkansas: median $831 across 19 hospitalsAR$831Tennessee: median $972 across 49 hospitalsTN$972North Carolina: median $2,228 across 66 hospitalsNC$2,228South Carolina: median $2,764 across 39 hospitalsSC$2,764Oklahoma: median $1,089 across 32 hospitalsOK$1,089Louisiana: median $1,468 across 39 hospitalsLA$1,468Mississippi: median $1,307 across 36 hospitalsMS$1,307Alabama: median $2,172 across 32 hospitalsAL$2,172Georgia: median $1,778 across 69 hospitalsGA$1,778Hawaii: median $1,865 across 14 hospitalsHI$1,865Texas: median $2,375 across 144 hospitalsTX$2,375Florida: median $3,430 across 100 hospitalsFL$3,430
Cash price by state, most expensive first. National median $2,229. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Ohio OH118$3,763+69%$1,763 – $4,844
Oregon OR42$3,456+55%$650 – $4,437
Florida FL100$3,430+54%$1,670 – $5,244
South Dakota SD11$3,326+49%$2,448 – $5,872
Pennsylvania PA100$3,053+37%$1,940 – $4,070
California CA174$3,018+35%$1,601 – $4,886
Connecticut CT20$3,012+35%$1,965 – $4,681
Alaska AK12$2,924+31%$1,183 – $4,024
New York NY89$2,880+29%$1,856 – $4,595
Illinois IL92$2,802+26%$1,147 – $4,166
South Carolina SC39$2,764+24%$2,039 – $4,522
Idaho ID16$2,577+16%$1,250 – $4,347
Washington WA55$2,511+13%$1,726 – $3,609
Colorado CO50$2,436+9%$1,369 – $4,241
Indiana IN71$2,387+7%$1,220 – $3,566
Texas TX144$2,375+7%$972 – $4,216
West Virginia WV23$2,273+2%$1,635 – $2,881
North Carolina NC66$2,2280%$1,313 – $2,639
Massachusetts MA39$2,2280%$1,481 – $3,907
Arizona AZ38$2,197−1%$1,225 – $7,282
Alabama AL32$2,172−3%$1,145 – $5,358
New Jersey NJ57$2,162−3%$1,793 – $5,439
North Dakota ND10$2,162−3%$223 – $2,846
New Hampshire NH13$2,137−4%$200 – $3,292
Maine ME12$2,131−4%$1,165 – $3,245
Kentucky KY26$2,018−9%$1,135 – $3,990
Virginia VA47$2,010−10%$1,485 – $3,382
Iowa IA30$2,009−10%$1,089 – $2,871
Missouri MO53$2,003−10%$1,100 – $4,562
New Mexico NM14$1,935−13%$1,519 – $3,377
Hawaii HI14$1,865−16%$1,211 – $4,638
Nevada NV13$1,796−19%$910 – $4,542
Minnesota MN56$1,783−20%$1,287 – $3,670
Georgia GA69$1,778−20%$1,501 – $4,041
Michigan MI74$1,720−23%$755 – $2,639
Nebraska NE26$1,600−28%$348 – $2,060
Louisiana LA39$1,468−34%$722 – $2,229
Montana MT15$1,441−35%$736 – $2,976
Wisconsin WI86$1,415−36%$1,039 – $2,618
Utah UT27$1,384−38%$1,177 – $1,384
Kansas KS35$1,372−38%$821 – $2,158
Wyoming WY11$1,359−39%$661 – $1,933
Mississippi MS36$1,307−41%$930 – $2,536
Oklahoma OK32$1,089−51%$923 – $2,276
Tennessee TN49$972−56%$668 – $2,200
Arkansas AR19$831−63%$659 – $2,157
Rhode Island RI8not enough hospitals filed a usable price
Maryland MD7not enough hospitals filed a usable price
Delaware DE6not enough hospitals filed a usable price
Vermont VT6not 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 $2,229.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,864$2,311$1,286 – $4,208
Children’s43$2,324$1,428 – $5,139
Critical access305$1,727$690 – $3,107
Ownership
For-profit233$2,355$1,365 – $4,468
Government314$1,932$918 – $3,124
Non-profit1,665$2,310$1,231 – $4,086
System affiliation
Part of a system1,856$2,333$1,276 – $4,122
Independent365$1,945$840 – $3,377

Cash price vs list price

Median list price (chargemaster)$4,221
Median cash price$2,229
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

1,651 hospitals filed a usable inpatient cash price for this code. The median is $2,393 and the average of the middle 60% is $2,506; most fall between $1,262 and $4,216.

Cash price percentiles, inpatient, across 1,651 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
$873$1,401$2,393$3,789$5,107

The most expensive tenth of hospitals charges at least 5.9× what the cheapest tenth charges ($873 vs $5,107).

Of the 1,784 hospitals that filed this code inpatient, 1,651 gave a usable cash price; 55 carried a plausibility flag, 1 filed a number their own filing marks as not a price, 0 gave an estimate, and 77 a list price only.

How complete is this

2,221 of the 3,956 hospitals with a price file in our corpus (56%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 2,407 hospitals that filed this code at all gave us
Usable cash price — counted2,221
Cash price carrying a plausibility flag — shown on the compare tool, excluded here93
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded5
A list price only, no cash figure — excluded87
Hospitals that filed this code2,407

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 Other diagnostic procedures on lung and bronchus family.

Hospitals file this code under descriptions such as Core Needle Bx Lung/Mediastinum Perq W/Img.

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, “Core needle biopsy of the lung or mid-chest, with imaging (CPT 32408) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-32408-core-needle-biopsy-of-the-lung-or-mid-chest-with-imaging