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

Limited lymph node removal in back of abdomen for staging

CPT 38564the billing code this page is about

Surgical removal of a limited group of lymph nodes near the aorta or spleen in the back of the abdomen, done to check whether cancer has spread.

Hospitals typically charge $1,734 cash for this outpatient procedure — the median across 196 hospitals that filed a usable cash price; the average of the middle 60% is $1,912. Most fall between $1,074 and $3,378 (20th–80th percentile).

Hospitals
196
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 196 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
$705$1,154$1,734$2,809$5,224

The most expensive tenth of hospitals charges at least 7.4× what the cheapest tenth charges ($705 vs $5,224).

How the prices are spread

$455 – $597: 8 hospitals$455$597 – $783: 9 hospitals$783 – $1,026: 12 hospitals$783$1,026 – $1,346: 34 hospitals$1,346 – $1,764: 34 hospitals$1,346$1,764 – $2,313: 14 hospitals$2,313 – $3,034: 34 hospitals$2,313$3,034 – $3,978: 8 hospitals$3,978 – $5,216: 14 hospitals$3,978$5,216 – $6,839: 11 hospitals$5,216median $1,734price bands are equal on a log scale
Hospitals per price band (178 of 196 — the bands cover the 5th to 95th percentile)
FromToHospitals
$455$5978
$597$7839
$783$1,02612
$1,026$1,34634
$1,346$1,76434
$1,764$2,31314
$2,313$3,03434
$3,034$3,9788
$3,978$5,21614
$5,216$6,83911

By state

The median cash price in each state, against the national median of $1,734.

Alaska: 1 hospital 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: 2 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: 1 hospital 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: 2 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: median $1,123 across 12 hospitalsIL$1,123Wisconsin: median $2,699 across 21 hospitalsWI$2,699Michigan: median $1,354 across 17 hospitalsMI$1,354New York: 9 hospitals filed a usable price — fewer than 10, so no figureNYMassachusetts: no hospital in the corpus filed a usable priceMAOregon: median $1,669 across 13 hospitalsOR$1,669Nevada: 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: 2 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $1,734 across 16 hospitalsIA$1,734Indiana: 2 hospitals filed a usable price — fewer than 10, so no figureINOhio: median $2,627 across 10 hospitalsOH$2,627Pennsylvania: median $459 across 16 hospitalsPA$459New Jersey: median $5,110 across 12 hospitalsNJ$5,110Connecticut: no hospital in the corpus filed a usable priceCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: 4 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: 3 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 1 hospital filed a usable price — fewer than 10, so no figureMOKentucky: 2 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 4 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: no hospital in the corpus filed a usable priceVAMaryland: 1 hospital filed a usable price — fewer than 10, so no figureMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 1 hospital filed a usable price — fewer than 10, so no figureAZNew Mexico: no hospital in the corpus filed a usable priceNMKansas: no hospital in the corpus filed a usable priceKSArkansas: 2 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 2 hospitals 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 $1,154 across 10 hospitalsOK$1,154Louisiana: 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: 1 hospital filed a usable price — fewer than 10, so no figureGAHawaii: 1 hospital filed a usable price — fewer than 10, so no figureHITexas: 3 hospitals filed a usable price — fewer than 10, so no figureTXFlorida: 3 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $1,734. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
New Jersey NJ12$5,110+195%$4,350 – $5,855
Wisconsin WI21$2,699+56%$2,699 – $8,876
Ohio OH10$2,627+51%$1,249 – $2,959
Iowa IA16$1,7340%$1,734 – $1,734
Oregon OR13$1,669−4%$1,292 – $1,726
Michigan MI17$1,354−22%$982 – $2,333
Oklahoma OK10$1,154−33%$1,154 – $1,154
Illinois IL12$1,123−35%$552 – $1,734
Pennsylvania PA16$459−74%$388 – $4,571
New York NY9not enough hospitals filed a usable price
California CA4not 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
Florida FL3not enough hospitals filed a usable price
Montana MT3not enough hospitals filed a usable price
Nebraska NE3not enough hospitals filed a usable price
Texas TX3not enough hospitals filed a usable price
Vermont VT3not enough hospitals filed a usable price
Arkansas AR2not enough hospitals filed a usable price
Indiana IN2not enough hospitals filed a usable price
Kentucky KY2not enough hospitals filed a usable price
Minnesota MN2not enough hospitals filed a usable price
Nevada NV2not enough hospitals filed a usable price
South Dakota SD2not enough hospitals filed a usable price
Tennessee TN2not enough hospitals filed a usable price
Washington WA2not enough hospitals filed a usable price
Wyoming WY2not enough hospitals filed a usable price
Alaska AK1not enough hospitals filed a usable price
Arizona AZ1not enough hospitals filed a usable price
Colorado CO1not enough hospitals filed a usable price
Georgia GA1not enough hospitals filed a usable price
Hawaii HI1not enough hospitals filed a usable price
Idaho ID1not enough hospitals filed a usable price
Louisiana LA1not enough hospitals filed a usable price
Maryland MD1not enough hospitals filed a usable price
Missouri MO1not enough hospitals filed a usable price
Mississippi MS1not enough hospitals filed a usable price
North Carolina NC1not enough hospitals filed a usable price
North Dakota ND1not 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 $1,734.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care151$1,734$1,003 – $3,710
Children’s5fewer than 20 hospitals
Critical access39$2,020$1,041 – $2,699
Ownership
For-profit16fewer than 20 hospitals
Government25$1,461$1,192 – $2,024
Non-profit154$1,734$1,074 – $3,844
System affiliation
Part of a system153$1,734$1,003 – $3,767
Independent43$1,481$1,075 – $2,645

Cash price vs list price

Median list price (chargemaster)$2,168
Median cash price$1,734
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

134 hospitals filed a usable inpatient cash price for this code. The median is $1,503 and the average of the middle 60% is $1,777; most fall between $834 and $2,699.

Cash price percentiles, inpatient, across 134 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
$697$1,154$1,503$2,588$3,021

The most expensive tenth of hospitals charges at least 4.3× what the cheapest tenth charges ($697 vs $3,021).

Of the 153 hospitals that filed this code inpatient, 134 gave a usable cash price; 18 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

196 of the 3,956 hospitals with a price file in our corpus (5%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 233 hospitals that filed this code at all gave us
Usable cash price — counted196
Cash price carrying a plausibility flag — shown on the compare tool, excluded here34
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 code233

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 Lmtd Lmphadec Staging Spx Rpr Aortic&/Splenic.

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, “Limited lymph node removal in back of abdomen for staging (CPT 38564) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-38564-limited-lymph-node-removal-in-back-of-abdomen-for-staging