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Procedure price report · Procedures on spleen

Keyhole surgery to remove the spleen

CPT 38120the billing code this page is about

Removal of the spleen through several small abdominal incisions using a camera and instruments rather than one large opening.

Hospitals typically charge $4,175 cash for this outpatient procedure — the median across 460 hospitals that filed a usable cash price; the average of the middle 60% is $5,379. Most fall between $1,788 and $12,320 (20th–80th percentile).

Hospitals
460
States
47
Filings dated
Mar 2023 – 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 460 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
$1,149$1,996$4,175$10,488$16,604

The most expensive tenth of hospitals charges at least 14× what the cheapest tenth charges ($1,149 vs $16,604).

How the prices are spread

$708 – $1,026: 10 hospitals$708$1,026 – $1,486: 32 hospitals$1,486 – $2,153: 61 hospitals$1,486$2,153 – $3,120: 70 hospitals$3,120 – $4,520: 51 hospitals$3,120$4,520 – $6,550: 41 hospitals$6,550 – $9,490: 32 hospitals$6,550$9,490 – $13,750: 63 hospitals$13,750 – $19,923: 39 hospitals$13,750$19,923 – $28,867: 16 hospitals$19,923median $4,175price bands are equal on a log scale
Hospitals per price band (415 of 460 — the bands cover the 5th to 95th percentile)
FromToHospitals
$708$1,02610
$1,026$1,48632
$1,486$2,15361
$2,153$3,12070
$3,120$4,52051
$4,520$6,55041
$6,550$9,49032
$9,490$13,75063
$13,750$19,92339
$19,923$28,86716

Against Medicare

Medicare pays (OPPS 2026, national rate)$10,860
Median cash price$4,175
Cash as a multiple of Medicare0.38×

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 $4,175.

Alaska: 3 hospitals filed a usable price — fewer than 10, so no figureAKMaine: no hospital in the corpus filed a usable priceMEVermont: 5 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 6 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 6 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: 9 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: median $5,062 across 20 hospitalsMN$5,062Illinois: median $2,581 across 17 hospitalsIL$2,581Wisconsin: median $4,939 across 28 hospitalsWI$4,939Michigan: median $2,489 across 31 hospitalsMI$2,489New York: median $6,337 across 36 hospitalsNY$6,337Massachusetts: 1 hospital filed a usable price — fewer than 10, so no figureMAOregon: 9 hospitals filed a usable price — fewer than 10, so no figureORNevada: 5 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 5 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureSDIowa: median $2,581 across 19 hospitalsIA$2,581Indiana: 9 hospitals filed a usable price — fewer than 10, so no figureINOhio: median $4,438 across 14 hospitalsOH$4,438Pennsylvania: median $2,479 across 21 hospitalsPA$2,479New Jersey: median $11,378 across 30 hospitalsNJ$11,378Connecticut: 4 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $10,488 across 45 hospitalsCA$10,488Utah: no hospital in the corpus filed a usable priceUTColorado: 4 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 7 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: median $1,700 across 12 hospitalsMO$1,700Kentucky: 4 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: median $1,168 across 10 hospitalsWV$1,168Virginia: 5 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: 3 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 1 hospital filed a usable price — fewer than 10, so no figureDEArizona: 3 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 2 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 6 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 5 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 7 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 2 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: 5 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $2,219 across 13 hospitalsOK$2,219Louisiana: 6 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 1 hospital filed a usable price — fewer than 10, so no figureMSAlabama: 5 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: 2 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: 1 hospital filed a usable price — fewer than 10, so no figureHITexas: median $9,115 across 19 hospitalsTX$9,115Florida: 9 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $4,175. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
New Jersey NJ30$11,378+173%$4,881 – $12,261
California CA45$10,488+151%$2,950 – $16,604
Texas TX19$9,115+118%$7,975 – $9,115
New York NY36$6,337+52%$1,756 – $12,320
Minnesota MN20$5,062+21%$2,295 – $5,939
Wisconsin WI28$4,939+18%$4,175 – $9,802
Ohio OH14$4,438+6%$2,083 – $11,178
Iowa IA19$2,581−38%$1,483 – $2,581
Illinois IL17$2,581−38%$1,553 – $14,879
Michigan MI31$2,489−40%$1,796 – $4,175
Pennsylvania PA21$2,479−41%$686 – $17,602
Oklahoma OK13$2,219−47%$2,219 – $14,486
Missouri MO12$1,700−59%$1,587 – $21,358
West Virginia WV10$1,168−72%$1,139 – $1,869
Florida FL9not enough hospitals filed a usable price
Idaho ID9not enough hospitals filed a usable price
Indiana IN9not enough hospitals filed a usable price
Oregon OR9not enough hospitals filed a usable price
Nebraska NE7not enough hospitals filed a usable price
Tennessee TN7not enough hospitals filed a usable price
Kansas KS6not enough hospitals filed a usable price
Louisiana LA6not enough hospitals filed a usable price
New Hampshire NH6not enough hospitals filed a usable price
Washington WA6not enough hospitals filed a usable price
Alabama AL5not enough hospitals filed a usable price
Arkansas AR5not enough hospitals filed a usable price
Nevada NV5not enough hospitals filed a usable price
South Carolina SC5not enough hospitals filed a usable price
Virginia VA5not enough hospitals filed a usable price
Vermont VT5not enough hospitals filed a usable price
Wyoming WY5not enough hospitals filed a usable price
Colorado CO4not enough hospitals filed a usable price
Connecticut CT4not enough hospitals filed a usable price
Kentucky KY4not enough hospitals filed a usable price
Alaska AK3not enough hospitals filed a usable price
Arizona AZ3not enough hospitals filed a usable price
Maryland MD3not enough hospitals filed a usable price
Montana MT3not enough hospitals filed a usable price
Georgia GA2not enough hospitals filed a usable price
North Carolina NC2not enough hospitals filed a usable price
New Mexico NM2not enough hospitals filed a usable price
Delaware DE1not enough hospitals filed a usable price
Hawaii HI1not enough hospitals filed a usable price
Massachusetts MA1not enough hospitals filed a usable price
Mississippi MS1not enough hospitals filed a usable price
North Dakota ND1not enough hospitals filed a usable price
South Dakota SD1not 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 $4,175.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care361$4,500$1,869 – $13,753
Children’s8fewer than 20 hospitals
Critical access90$3,162$1,553 – $5,939
Ownership
For-profit34$6,099$1,553 – $15,335
Government69$3,557$2,059 – $12,320
Non-profit356$4,175$1,756 – $12,320
System affiliation
Part of a system371$4,438$1,793 – $12,320
Independent89$2,910$1,714 – $7,622

Cash price vs list price

Median list price (chargemaster)$4,436
Median cash price$4,175
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

254 hospitals filed a usable inpatient cash price for this code. The median is $2,597 and the average of the middle 60% is $3,609; most fall between $1,553 and $10,172.

Cash price percentiles, inpatient, across 254 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
$1,104$1,793$2,597$7,975$16,604

The most expensive tenth of hospitals charges at least 15× what the cheapest tenth charges ($1,104 vs $16,604).

Of the 281 hospitals that filed this code inpatient, 254 gave a usable cash price; 16 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 11 a list price only.

How complete is this

460 of the 3,956 hospitals with a price file in our corpus (12%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 513 hospitals that filed this code at all gave us
Usable cash price — counted460
Cash price carrying a plausibility flag — shown on the compare tool, excluded here39
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded1
A list price only, no cash figure — excluded12
Hospitals that filed this code513

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 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 Procedures on spleen family.

Hospitals file this code under descriptions such as PR Lap,Splenectomy.

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 surgery to remove the spleen (CPT 38120) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-38120-keyhole-surgery-to-remove-the-spleen