Procedure price report · Other therapeutic procedures, hemic and lymphatic system

Keyhole removal of chest lymph nodes

CPT code CPT 32674the billing code this page is about

Add-on service billed with another chest operation when lymph nodes from the area between the lungs and nearby regions are removed through the same keyhole approach.

Hospitals typically charge $526 cash for this outpatient procedure — the median across 287 hospitals that filed a usable cash price; the average of the middle 60% is $903. Most fall between $301 and $3,552 (20th–80th percentile).

Hospitals
287
States
40
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 287 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
$139$324$526$1,624$4,850

The most expensive tenth of hospitals charges at least 35× what the cheapest tenth charges ($139 vs $4,850).

How the prices are spread

$72 – $112: 18 hospitals$72$112 – $176: 16 hospitals$176 – $275: 16 hospitals$176$275 – $430: 74 hospitals$430 – $673: 39 hospitals$430$673 – $1,053: 23 hospitals$1,053 – $1,648: 33 hospitals$1,053$1,648 – $2,578: 4 hospitals$2,578 – $4,034: 16 hospitals$2,578$4,034 – $6,311: 33 hospitals$4,034median $526price bands are equal on a log scale
Hospitals per price band (272 of 287 — the bands cover the 5th to 95th percentile)
FromToHospitals
$72$11218
$112$17616
$176$27516
$275$43074
$430$67339
$673$1,05323
$1,053$1,64833
$1,648$2,5784
$2,578$4,03416
$4,034$6,31133

By state

The median cash price in each state, against the national median of $526.

Alaska: 1 hospital filed a usable price — fewer than 10, so no figureAKMaine: no hospital in the corpus filed a usable priceMEVermont: 1 hospital 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: 2 hospitals filed a usable price — fewer than 10, so no figureIDMontana: no hospital in the corpus filed a usable priceMTNorth 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 $425 across 17 hospitalsIL$425Wisconsin: median $1,299 across 25 hospitalsWI$1,299Michigan: median $413 across 31 hospitalsMI$413New York: median $438 across 21 hospitalsNY$438Massachusetts: 1 hospital filed a usable price — fewer than 10, so no figureMAOregon: median $384 across 10 hospitalsOR$384Nevada: 2 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 $526 across 15 hospitalsIA$526Indiana: 5 hospitals filed a usable price — fewer than 10, so no figureINOhio: median $794 across 11 hospitalsOH$794Pennsylvania: median $142 across 16 hospitalsPA$142New Jersey: median $5,110 across 13 hospitalsNJ$5,110Connecticut: 2 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $4,850 across 40 hospitalsCA$4,850Utah: no hospital in the corpus filed a usable priceUTColorado: 2 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 3 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 5 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: 4 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: 2 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 3 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: 1 hospital filed a usable price — fewer than 10, so no figureNCSouth Carolina: 1 hospital filed a usable price — fewer than 10, so no figureSCOklahoma: median $349 across 10 hospitalsOK$349Louisiana: no hospital in the corpus filed a usable priceLAMississippi: no hospital in the corpus filed a usable priceMSAlabama: 3 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: no hospital in the corpus filed a usable priceGAHawaii: no hospital in the corpus filed a usable priceHITexas: 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 $526. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
New Jersey NJ13$5,110+872%$3,986 – $5,855
California CA40$4,850+823%$3,552 – $4,850
Wisconsin WI25$1,299+147%$969 – $1,299
Ohio OH11$794+51%$332 – $1,071
Iowa IA15$5260%$526 – $526
New York NY21$438−17%$209 – $657
Illinois IL17$425−19%$315 – $69,108
Michigan MI31$413−21%$272 – $715
Oregon OR10$384−27%$384 – $386
Oklahoma OK10$349−34%$349 – $349
Pennsylvania PA16$142−73%$130 – $1,663
Florida FL6not enough hospitals filed a usable price
Indiana IN5not enough hospitals filed a usable price
Minnesota MN5not enough hospitals filed a usable price
Missouri MO5not enough hospitals filed a usable price
Arizona AZ4not enough hospitals filed a usable price
New Hampshire NH4not enough hospitals filed a usable price
Virginia VA4not enough hospitals filed a usable price
West Virginia WV4not enough hospitals filed a usable price
Alabama AL3not enough hospitals filed a usable price
Kansas KS3not enough hospitals filed a usable price
Kentucky KY3not enough hospitals filed a usable price
Nebraska NE3not enough hospitals filed a usable price
Texas TX3not enough hospitals filed a usable price
Washington WA3not enough hospitals filed a usable price
Arkansas AR2not enough hospitals filed a usable price
Colorado CO2not 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
New Mexico NM2not enough hospitals filed a usable price
Nevada NV2not enough hospitals filed a usable price
Wyoming WY2not enough hospitals filed a usable price
Alaska AK1not enough hospitals filed a usable price
Massachusetts MA1not enough hospitals filed a usable price
North Carolina NC1not 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
Vermont VT1not 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 $526.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care241$526$285 – $3,552
Children’s7fewer than 20 hospitals
Critical access38$715$315 – $1,299
Ownership
For-profit16fewer than 20 hospitals
Government22$452$244 – $715
Non-profit248$526$301 – $3,552
System affiliation
Part of a system245$526$302 – $3,552
Independent42$452$254 – $687

Cash price vs list price

Median list price (chargemaster)$716
Median cash price$526
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

208 hospitals filed a usable inpatient cash price for this code. The median is $507 and the average of the middle 60% is $661; most fall between $302 and $3,150.

Cash price percentiles, inpatient, across 208 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
$142$315$507$1,299$4,850

The most expensive tenth of hospitals charges at least 34× what the cheapest tenth charges ($142 vs $4,850).

Of the 230 hospitals that filed this code inpatient, 208 gave a usable cash price; 17 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 5 a list price only.

How complete is this

287 of the 3,956 hospitals with a price file in our corpus (7%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 339 hospitals that filed this code at all gave us
Usable cash price — counted287
Cash price carrying a plausibility flag — shown on the compare tool, excluded here37
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 — excluded14
Hospitals that filed this code339

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.

Hospitals file this code under descriptions such as Thorcoscpy W/Mediastinl & Regionl Lymphdenectomy.

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 removal of chest lymph nodes (CPT 32674) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-32674-keyhole-removal-of-chest-lymph-nodes