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

Keyhole sampling of lymph nodes behind the abdomen

CPT 38570the billing code this page is about

Through small abdominal incisions with a camera, one or more lymph nodes from the area behind the abdominal cavity are sampled for biopsy.

Hospitals typically charge $4,501 cash for this outpatient procedure — the median across 607 hospitals that filed a usable cash price; the average of the middle 60% is $4,798. Most fall between $935 and $12,699 (20th–80th percentile).

Hospitals
607
States
48
Filings dated
Mar 2023 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 24, 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 607 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
$716$1,086$4,501$10,636$23,833

The most expensive tenth of hospitals charges at least 33× what the cheapest tenth charges ($716 vs $23,833).

How the prices are spread

$535 – $815: 56 hospitals$535$815 – $1,240: 85 hospitals$1,240 – $1,888: 74 hospitals$1,240$1,888 – $2,875: 36 hospitals$2,875 – $4,376: 21 hospitals$2,875$4,376 – $6,662: 70 hospitals$6,662 – $10,141: 78 hospitals$6,662$10,141 – $15,439: 58 hospitals$15,439 – $23,503: 38 hospitals$15,439$23,503 – $35,779: 32 hospitals$23,503median $4,501price bands are equal on a log scale
Hospitals per price band (548 of 607 — the bands cover the 5th to 95th percentile)
FromToHospitals
$535$81556
$815$1,24085
$1,240$1,88874
$1,888$2,87536
$2,875$4,37621
$4,376$6,66270
$6,662$10,14178
$10,141$15,43958
$15,439$23,50338
$23,503$35,77932

Against Medicare

Medicare pays (OPPS 2026, national rate)$6,176
Median cash price$4,501
Cash as a multiple of Medicare0.73×

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 $4,501.

Alaska: 5 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 6 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 4 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 6 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $1,800 across 10 hospitalsWA$1,800Idaho: median $15,131 across 10 hospitalsID$15,131Montana: 5 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 $2,429 across 21 hospitalsMN$2,429Illinois: median $2,690 across 25 hospitalsIL$2,690Wisconsin: median $5,017 across 28 hospitalsWI$5,017Michigan: median $1,495 across 35 hospitalsMI$1,495New York: median $6,904 across 56 hospitalsNY$6,904Massachusetts: 4 hospitals filed a usable price — fewer than 10, so no figureMAOregon: median $1,233 across 16 hospitalsOR$1,233Nevada: 5 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 7 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 $1,271 across 20 hospitalsIA$1,271Indiana: median $2,074 across 16 hospitalsIN$2,074Ohio: median $2,428 across 26 hospitalsOH$2,428Pennsylvania: median $4,043 across 26 hospitalsPA$4,043New Jersey: median $6,458 across 33 hospitalsNJ$6,458Connecticut: 5 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $7,244 across 50 hospitalsCA$7,244Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: 7 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 5 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: median $938 across 16 hospitalsMO$938Kentucky: 6 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: median $891 across 15 hospitalsWV$891Virginia: 8 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: 3 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: median $824 across 13 hospitalsKS$824Arkansas: 8 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 8 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 3 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: median $11,705 across 16 hospitalsSC$11,705Oklahoma: median $853 across 13 hospitalsOK$853Louisiana: 7 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 1 hospital filed a usable price — fewer than 10, so no figureMSAlabama: 8 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: 3 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: 3 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $10,636 across 22 hospitalsTX$10,636Florida: median $12,949 across 13 hospitalsFL$12,949
Cash price by state, most expensive first. National median $4,501. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Idaho ID10$15,131+236%$2,779 – $15,131
Florida FL13$12,949+188%$2,428 – $15,379
South Carolina SC16$11,705+160%$11,705 – $11,705
Texas TX22$10,636+136%$8,598 – $11,328
California CA50$7,244+61%$1,610 – $22,562
New York NY56$6,904+53%$1,505 – $9,188
New Jersey NJ33$6,458+43%$5,110 – $13,892
Wisconsin WI28$5,017+11%$2,463 – $5,017
Pennsylvania PA26$4,043−10%$334 – $10,994
Illinois IL25$2,690−40%$716 – $62,506
Minnesota MN21$2,429−46%$971 – $3,190
Ohio OH26$2,428−46%$1,953 – $36,972
Indiana IN16$2,074−54%$716 – $25,271
Washington WA10$1,800−60%$948 – $28,949
Michigan MI35$1,495−67%$808 – $8,313
Iowa IA20$1,271−72%$1,271 – $1,580
Oregon OR16$1,233−73%$948 – $1,234
Missouri MO16$938−79%$846 – $31,563
West Virginia WV15$891−80%$551 – $2,447
Oklahoma OK13$853−81%$853 – $11,895
Kansas KS13$824−82%$602 – $2,528
Alabama AL8not enough hospitals filed a usable price
Arkansas AR8not enough hospitals filed a usable price
Tennessee TN8not enough hospitals filed a usable price
Virginia VA8not enough hospitals filed a usable price
Colorado CO7not enough hospitals filed a usable price
Louisiana LA7not enough hospitals filed a usable price
Wyoming WY7not enough hospitals filed a usable price
Kentucky KY6not enough hospitals filed a usable price
Maine ME6not enough hospitals filed a usable price
New Hampshire NH6not enough hospitals filed a usable price
Alaska AK5not enough hospitals filed a usable price
Connecticut CT5not enough hospitals filed a usable price
Montana MT5not enough hospitals filed a usable price
Nebraska NE5not enough hospitals filed a usable price
Nevada NV5not enough hospitals filed a usable price
Arizona AZ4not enough hospitals filed a usable price
Massachusetts MA4not enough hospitals filed a usable price
Vermont VT4not enough hospitals filed a usable price
Georgia GA3not enough hospitals filed a usable price
Hawaii HI3not enough hospitals filed a usable price
Maryland MD3not enough hospitals filed a usable price
North Carolina NC3not enough hospitals filed a usable price
New Mexico NM2not enough hospitals filed a usable price
South Dakota SD2not enough hospitals filed a usable price
Mississippi MS1not enough hospitals filed a usable price
North Dakota ND1not enough hospitals filed a usable price
Utah UT1not 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 $4,501.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care483$6,099$1,019 – $16,846
Children’s8fewer than 20 hospitals
Critical access115$1,396$716 – $4,922
Ownership
For-profit46$6,536$808 – $15,379
Government88$1,637$925 – $6,904
Non-profit472$4,922$948 – $13,893
System affiliation
Part of a system478$5,110$948 – $13,893
Independent129$1,708$897 – $7,142

Cash price vs list price

Median list price (chargemaster)$2,990
Median cash price$4,501
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

298 hospitals filed a usable inpatient cash price for this code. The median is $1,458 and the average of the middle 60% is $2,722; most fall between $731 and $9,703.

Cash price percentiles, inpatient, across 298 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
$523$853$1,458$7,244$12,564

The most expensive tenth of hospitals charges at least 24× what the cheapest tenth charges ($523 vs $12,564).

Of the 330 hospitals that filed this code inpatient, 298 gave a usable cash price; 19 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 13 a list price only.

How complete is this

607 of the 3,956 hospitals with a price file in our corpus (15%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 671 hospitals that filed this code at all gave us
Usable cash price — counted607
Cash price carrying a plausibility flag — shown on the compare tool, excluded here48
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded2
An estimate rather than a filed cash price — excluded4
A list price only, no cash figure — excluded10
Hospitals that filed this code671

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 24, 2026; the figures were computed September 25, 2026 from filings loaded through September 24, 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 Laps Surg Retroperitoneal Lymph Node Bx 1/Mlt.

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 sampling of lymph nodes behind the abdomen (CPT 38570) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-38570-keyhole-sampling-of-lymph-nodes-behind-the-abdomen