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Procedure price report · Other OR therapeutic procedures on respiratory system

Chest scope surgery to seal the lung lining

CPT 32650the billing code this page is about

Through small chest incisions with a camera, a chemical or mechanical method is used to scar the lung lining to the chest wall so fluid or air does not collect.

Hospitals typically charge $1,793 cash for this outpatient procedure — the median across 433 hospitals that filed a usable cash price; the average of the middle 60% is $2,056. Most fall between $996 and $3,969 (20th–80th percentile).

Hospitals
433
States
46
Filings dated
Mar 2023 – 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 433 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
$636$1,090$1,793$3,422$5,987

The most expensive tenth of hospitals charges at least 9.4× what the cheapest tenth charges ($636 vs $5,987).

How the prices are spread

$354 – $492: 17 hospitals$354$492 – $684: 17 hospitals$684 – $951: 19 hospitals$684$951 – $1,322: 87 hospitals$1,322 – $1,838: 57 hospitals$1,322$1,838 – $2,556: 54 hospitals$2,556 – $3,555: 59 hospitals$2,556$3,555 – $4,943: 32 hospitals$4,943 – $6,874: 34 hospitals$4,943$6,874 – $9,559: 15 hospitals$6,874median $1,793price bands are equal on a log scale
Hospitals per price band (391 of 433 — the bands cover the 5th to 95th percentile)
FromToHospitals
$354$49217
$492$68417
$684$95119
$951$1,32287
$1,322$1,83857
$1,838$2,55654
$2,556$3,55559
$3,555$4,94332
$4,943$6,87434
$6,874$9,55915

By state

The median cash price in each state, against the national median of $1,793.

Alaska: 4 hospitals filed a usable price — fewer than 10, so no figureAKMaine: no hospital in the corpus filed a usable priceMEVermont: 3 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 4 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 6 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: 2 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 3 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureNDMinnesota: 7 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: median $1,318 across 18 hospitalsIL$1,318Wisconsin: median $5,987 across 27 hospitalsWI$5,987Michigan: median $1,268 across 31 hospitalsMI$1,268New York: median $1,633 across 27 hospitalsNY$1,633Massachusetts: 3 hospitals filed a usable price — fewer than 10, so no figureMAOregon: median $1,222 across 13 hospitalsOR$1,222Nevada: 2 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 3 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: no hospital in the corpus filed a usable priceSDIowa: median $1,622 across 18 hospitalsIA$1,622Indiana: 8 hospitals filed a usable price — fewer than 10, so no figureINOhio: median $2,816 across 22 hospitalsOH$2,816Pennsylvania: median $484 across 17 hospitalsPA$484New Jersey: median $4,709 across 21 hospitalsNJ$4,709Connecticut: 2 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $2,252 across 49 hospitalsCA$2,252Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: 6 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 3 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 9 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 4 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 5 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: 3 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: 2 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 4 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 3 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 7 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: 4 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: 1 hospital filed a usable price — fewer than 10, so no figureSCOklahoma: median $1,090 across 11 hospitalsOK$1,090Louisiana: 7 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 7 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 4 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $418 across 10 hospitalsGA$418Hawaii: 4 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $2,630 across 33 hospitalsTX$2,630Florida: median $2,816 across 11 hospitalsFL$2,816
Cash price by state, most expensive first. National median $1,793. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Wisconsin WI27$5,987+234%$3,093 – $6,972
New Jersey NJ21$4,709+163%$4,095 – $5,741
Florida FL11$2,816+57%$814 – $10,785
Ohio OH22$2,816+57%$1,643 – $10,770
Texas TX33$2,630+47%$1,345 – $3,969
California CA49$2,252+26%$1,669 – $3,422
New York NY27$1,633−9%$794 – $3,409
Iowa IA18$1,622−10%$1,455 – $1,622
Illinois IL18$1,318−27%$996 – $3,856
Michigan MI31$1,268−29%$968 – $2,607
Oregon OR13$1,222−32%$1,214 – $1,222
Oklahoma OK11$1,090−39%$1,090 – $1,090
Pennsylvania PA17$484−73%$409 – $2,295
Georgia GA10$418−77%$418 – $418
Missouri MO9not enough hospitals filed a usable price
Indiana IN8not enough hospitals filed a usable price
Kansas KS7not enough hospitals filed a usable price
Louisiana LA7not enough hospitals filed a usable price
Minnesota MN7not enough hospitals filed a usable price
Mississippi MS7not enough hospitals filed a usable price
Colorado CO6not enough hospitals filed a usable price
Washington WA6not enough hospitals filed a usable price
West Virginia WV5not enough hospitals filed a usable price
Alaska AK4not enough hospitals filed a usable price
Alabama AL4not enough hospitals filed a usable price
Arizona AZ4not enough hospitals filed a usable price
Hawaii HI4not enough hospitals filed a usable price
Kentucky KY4not enough hospitals filed a usable price
North Carolina NC4not enough hospitals filed a usable price
New Hampshire NH4not enough hospitals filed a usable price
Massachusetts MA3not enough hospitals filed a usable price
Montana MT3not enough hospitals filed a usable price
Nebraska NE3not enough hospitals filed a usable price
New Mexico NM3not enough hospitals filed a usable price
Virginia VA3not enough hospitals filed a usable price
Vermont VT3not enough hospitals filed a usable price
Wyoming WY3not enough hospitals filed a usable price
Arkansas AR2not enough hospitals filed a usable price
Connecticut CT2not enough hospitals filed a usable price
Idaho ID2not enough hospitals filed a usable price
Maryland MD2not enough hospitals filed a usable price
Nevada NV2not enough hospitals filed a usable price
North Dakota ND1not enough hospitals filed a usable price
South Carolina SC1not enough hospitals filed a usable price
Tennessee TN1not enough hospitals filed a usable price
Utah UT1not 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 $1,793.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care346$1,881$996 – $3,969
Children’s9fewer than 20 hospitals
Critical access77$1,685$996 – $5,666
Ownership
For-profit26$1,345$996 – $3,780
Government64$1,557$932 – $2,394
Non-profit342$2,041$996 – $4,709
System affiliation
Part of a system349$2,252$996 – $4,709
Independent84$1,548$1,032 – $2,394

Cash price vs list price

Median list price (chargemaster)$2,536
Median cash price$1,793
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

298 hospitals filed a usable inpatient cash price for this code. The median is $1,658 and the average of the middle 60% is $1,942; most fall between $996 and $3,505.

Cash price percentiles, inpatient, across 298 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
$647$1,081$1,658$3,422$5,987

The most expensive tenth of hospitals charges at least 9.2× what the cheapest tenth charges ($647 vs $5,987).

Of the 334 hospitals that filed this code inpatient, 298 gave a usable cash price; 19 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 17 a list price only.

How complete is this

433 of the 3,956 hospitals with a price file in our corpus (11%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 502 hospitals that filed this code at all gave us
Usable cash price — counted433
Cash price carrying a plausibility flag — shown on the compare tool, excluded here43
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 — excluded25
Hospitals that filed this code502

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 OR therapeutic procedures on respiratory system family.

Hospitals file this code under descriptions such as Thoracoscopy W/Pleurodesis.

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, “Chest scope surgery to seal the lung lining (CPT 32650) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-32650-chest-scope-surgery-to-seal-the-lung-lining