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

Tying off the thoracic duct through the chest

CPT 38381the billing code this page is about

The main lymph duct is stitched or tied closed using an incision in the chest to stop a lymph fluid leak.

Hospitals typically charge $1,838 cash for this outpatient procedure — the median across 158 hospitals that filed a usable cash price; the average of the middle 60% is $1,920. Most fall between $1,155 and $3,479 (20th–80th percentile).

Hospitals
158
States
33
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 158 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
$728$1,297$1,838$2,803$5,110

The most expensive tenth of hospitals charges at least 7.0× what the cheapest tenth charges ($728 vs $5,110).

How the prices are spread

$363 – $482: 1 hospitals$363$482 – $642: 5 hospitals$642 – $854: 9 hospitals$642$854 – $1,137: 8 hospitals$1,137 – $1,513: 38 hospitals$1,137$1,513 – $2,013: 31 hospitals$2,013 – $2,678: 18 hospitals$2,013$2,678 – $3,564: 14 hospitals$3,564 – $4,743: 6 hospitals$3,564$4,743 – $6,311: 14 hospitals$4,743median $1,838price bands are equal on a log scale
Hospitals per price band (144 of 158 — the bands cover the 5th to 95th percentile)
FromToHospitals
$363$4821
$482$6425
$642$8549
$854$1,1378
$1,137$1,51338
$1,513$2,01331
$2,013$2,67818
$2,678$3,56414
$3,564$4,7436
$4,743$6,31114

By state

The median cash price in each state, against the national median of $1,838.

Alaska: 1 hospital filed a usable price — fewer than 10, so no figureAKMaine: no hospital in the corpus filed a usable priceMEVermont: 2 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 4 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 1 hospital filed a usable price — fewer than 10, so no figureWAIdaho: 2 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: 3 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: 9 hospitals filed a usable price — fewer than 10, so no figureILWisconsin: no hospital in the corpus filed a usable priceWIMichigan: median $2,059 across 23 hospitalsMI$2,059New York: median $1,993 across 11 hospitalsNY$1,993Massachusetts: 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: 1 hospital filed a usable price — fewer than 10, so no figureWYSouth Dakota: no hospital in the corpus filed a usable priceSDIowa: median $1,958 across 15 hospitalsIA$1,958Indiana: no hospital in the corpus filed a usable priceINOhio: median $3,237 across 10 hospitalsOH$3,237Pennsylvania: median $363 across 16 hospitalsPA$363New Jersey: median $5,110 across 13 hospitalsNJ$5,110Connecticut: no hospital in the corpus filed a usable priceCTRhode 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: 2 hospitals 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: 1 hospital filed a usable price — fewer than 10, so no figureKYWest Virginia: 1 hospital filed a usable price — fewer than 10, so no figureWVVirginia: no hospital in the corpus filed a usable priceVAMaryland: no hospital in the corpus filed a usable priceMDDelaware: 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 $1,315 across 10 hospitalsOK$1,315Louisiana: 1 hospital filed a usable price — fewer than 10, so no figureLAMississippi: no hospital in the corpus filed a usable priceMSAlabama: no hospital in the corpus filed a usable priceALGeorgia: 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: 4 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $1,838. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
New Jersey NJ13$5,110+178%$3,986 – $5,855
Ohio OH10$3,237+76%$1,442 – $3,479
Michigan MI23$2,059+12%$1,155 – $2,059
New York NY11$1,993+8%$959 – $2,395
Iowa IA15$1,958+7%$1,958 – $1,958
Oklahoma OK10$1,315−28%$1,315 – $1,315
Pennsylvania PA16$363−80%$284 – $1,838
Illinois IL9not enough hospitals filed a usable price
Oregon OR5not enough hospitals filed a usable price
Florida FL4not enough hospitals filed a usable price
New Hampshire NH4not enough hospitals filed a usable price
Arizona AZ3not enough hospitals filed a usable price
California CA3not enough hospitals filed a usable price
Minnesota MN3not enough hospitals filed a usable price
Missouri MO3not enough hospitals filed a usable price
Texas TX3not enough hospitals filed a usable price
Arkansas AR2not enough hospitals filed a usable price
Colorado CO2not enough hospitals filed a usable price
Idaho ID2not enough hospitals filed a usable price
Nebraska NE2not enough hospitals filed a usable price
Nevada NV2not enough hospitals filed a usable price
Vermont VT2not enough hospitals filed a usable price
Alaska AK1not enough hospitals filed a usable price
Kansas KS1not enough hospitals filed a usable price
Kentucky KY1not enough hospitals filed a usable price
Louisiana LA1not 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
Washington WA1not enough hospitals filed a usable price
West Virginia WV1not enough hospitals filed a usable price
Wyoming WY1not 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 $1,838.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care139$1,838$1,155 – $3,479
Children’s8fewer than 20 hospitals
Critical access10fewer than 20 hospitals
Ownership
For-profit11fewer than 20 hospitals
Government16fewer than 20 hospitals
Non-profit130$1,958$1,155 – $3,479
System affiliation
Part of a system125$1,937$1,155 – $3,479
Independent33$1,699$1,231 – $3,237

Cash price vs list price

Median list price (chargemaster)$2,395
Median cash price$1,838
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

101 hospitals filed a usable inpatient cash price for this code. The median is $1,519 and the average of the middle 60% is $1,636; most fall between $959 and $2,367.

Cash price percentiles, inpatient, across 101 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
$632$1,307$1,519$1,993$3,237

The most expensive tenth of hospitals charges at least 5.1× what the cheapest tenth charges ($632 vs $3,237).

Of the 110 hospitals that filed this code inpatient, 101 gave a usable cash price; 8 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 1 a list price only.

How complete is this

158 of the 3,956 hospitals with a price file in our corpus (4%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 175 hospitals that filed this code at all gave us
Usable cash price — counted158
Cash price carrying a plausibility flag — shown on the compare tool, excluded here14
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 — excluded2
Hospitals that filed this code175

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 therapeutic procedures, hemic and lymphatic system family.

Hospitals file this code under descriptions such as PR Ligatn Thor Duct,Thor Approach.

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, “Tying off the thoracic duct through the chest (CPT 38381) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-38381-tying-off-the-thoracic-duct-through-the-chest