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Procedure price report · Other OR therapeutic procedures on respiratory system

Keyhole chest surgery to strip the chest lining

CPT 32656the billing code this page is about

Minimally invasive chest surgery through small incisions with a camera to remove the membrane lining the inside of the chest wall.

Hospitals typically charge $1,953 cash for this outpatient procedure — the median across 241 hospitals that filed a usable cash price; the average of the middle 60% is $2,204. Most fall between $1,158 and $3,706 (20th–80th percentile).

Hospitals
241
States
41
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 241 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
$864$1,227$1,953$3,613$5,855

The most expensive tenth of hospitals charges at least 6.8× what the cheapest tenth charges ($864 vs $5,855).

How the prices are spread

$538 – $706: 7 hospitals$538$706 – $926: 10 hospitals$926 – $1,214: 32 hospitals$926$1,214 – $1,593: 43 hospitals$1,593 – $2,089: 30 hospitals$1,593$2,089 – $2,740: 22 hospitals$2,740 – $3,593: 20 hospitals$2,740$3,593 – $4,713: 31 hospitals$4,713 – $6,181: 11 hospitals$4,713$6,181 – $8,106: 14 hospitals$6,181median $1,953price bands are equal on a log scale
Hospitals per price band (220 of 241 — the bands cover the 5th to 95th percentile)
FromToHospitals
$538$7067
$706$92610
$926$1,21432
$1,214$1,59343
$1,593$2,08930
$2,089$2,74022
$2,740$3,59320
$3,593$4,71331
$4,713$6,18111
$6,181$8,10614

By state

The median cash price in each state, against the national median of $1,953.

Alaska: 2 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: 3 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: 7 hospitals 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: 5 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: median $1,478 across 11 hospitalsIL$1,478Wisconsin: median $3,706 across 27 hospitalsWI$3,706Michigan: median $1,066 across 26 hospitalsMI$1,066New York: median $1,793 across 19 hospitalsNY$1,793Massachusetts: no hospital in the corpus filed a usable priceMAOregon: 5 hospitals filed a usable price — fewer than 10, so no figureORNevada: 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 $1,953 across 16 hospitalsIA$1,953Indiana: 6 hospitals filed a usable price — fewer than 10, so no figureINOhio: median $3,065 across 11 hospitalsOH$3,065Pennsylvania: median $582 across 16 hospitalsPA$582New Jersey: median $5,419 across 19 hospitalsNJ$5,419Connecticut: 1 hospital filed a usable price — fewer than 10, so no figureCTRhode 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: 2 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 3 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 3 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 4 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: 3 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: 1 hospital filed a usable price — fewer than 10, so no figureMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 3 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: no hospital in the corpus filed a usable priceNMKansas: 1 hospital 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: no hospital in the corpus filed a usable priceSCOklahoma: median $1,308 across 10 hospitalsOK$1,308Louisiana: 1 hospital filed a usable price — fewer than 10, so no figureLAMississippi: 1 hospital filed a usable price — fewer than 10, so no figureMSAlabama: 3 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: no hospital in the corpus filed a usable priceGAHawaii: 1 hospital filed a usable price — fewer than 10, so no figureHITexas: 3 hospitals filed a usable price — fewer than 10, so no figureTXFlorida: 6 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $1,953. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
New Jersey NJ19$5,419+177%$3,986 – $7,490
Wisconsin WI27$3,706+90%$3,613 – $8,106
Ohio OH11$3,065+57%$1,706 – $3,448
Iowa IA16$1,9530%$1,953 – $1,953
New York NY19$1,793−8%$954 – $3,409
Illinois IL11$1,478−24%$1,158 – $3,317
Oklahoma OK10$1,308−33%$1,308 – $1,308
Michigan MI26$1,066−45%$956 – $2,382
Pennsylvania PA16$582−70%$492 – $1,673
Idaho ID7not enough hospitals filed a usable price
Florida FL6not enough hospitals filed a usable price
Indiana IN6not enough hospitals filed a usable price
Minnesota MN5not enough hospitals filed a usable price
Oregon OR5not enough hospitals filed a usable price
New Hampshire NH4not enough hospitals filed a usable price
West Virginia WV4not enough hospitals filed a usable price
Alabama AL3not enough hospitals filed a usable price
Arizona AZ3not enough hospitals filed a usable price
California CA3not enough hospitals filed a usable price
Kentucky KY3not enough hospitals filed a usable price
Missouri MO3not enough hospitals filed a usable price
Texas TX3not enough hospitals filed a usable price
Virginia VA3not enough hospitals filed a usable price
Vermont VT3not enough hospitals filed a usable price
Washington WA3not enough hospitals filed a usable price
Wyoming WY3not enough hospitals filed a usable price
Alaska AK2not enough hospitals filed a usable price
Arkansas AR2not enough hospitals filed a usable price
Nebraska NE2not enough hospitals filed a usable price
Nevada NV2not enough hospitals filed a usable price
Colorado CO1not enough hospitals filed a usable price
Connecticut CT1not enough hospitals filed a usable price
Hawaii HI1not enough hospitals filed a usable price
Kansas KS1not enough hospitals filed a usable price
Louisiana LA1not enough hospitals filed a usable price
Maryland MD1not enough hospitals filed a usable price
Mississippi MS1not 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
Tennessee TN1not 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 $1,953.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care190$1,793$982 – $3,613
Children’s9fewer than 20 hospitals
Critical access41$3,613$1,397 – $8,106
Ownership
For-profit16fewer than 20 hospitals
Government23$2,094$1,333 – $2,505
Non-profit201$1,953$1,135 – $3,706
System affiliation
Part of a system201$1,953$1,158 – $3,706
Independent40$1,865$1,231 – $3,337

Cash price vs list price

Median list price (chargemaster)$2,441
Median cash price$1,953
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

154 hospitals filed a usable inpatient cash price for this code. The median is $1,761 and the average of the middle 60% is $1,792; most fall between $1,158 and $3,337.

Cash price percentiles, inpatient, across 154 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
$859$1,300$1,761$2,612$3,613

The most expensive tenth of hospitals charges at least 4.2× what the cheapest tenth charges ($859 vs $3,613).

Of the 175 hospitals that filed this code inpatient, 154 gave a usable cash price; 15 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

241 of the 3,956 hospitals with a price file in our corpus (6%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 287 hospitals that filed this code at all gave us
Usable cash price — counted241
Cash price carrying a plausibility flag — shown on the compare tool, excluded here35
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 — excluded10
Hospitals that filed this code287

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 Thoracoscopy W/Parietal Pleurectomy.

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, “Keyhole chest surgery to strip the chest lining (CPT 32656) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-32656-keyhole-chest-surgery-to-strip-the-chest-lining