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

Keyhole removal of pelvic lymph nodes on both sides

CPT 38571the billing code this page is about

Through small abdominal incisions with a camera, the surgeon removes the full set of lymph nodes from both sides of the pelvis.

Hospitals typically charge $6,841 cash for this outpatient procedure — the median across 565 hospitals that filed a usable cash price; the average of the middle 60% is $7,859. Most fall between $1,346 and $22,351 (20th–80th percentile).

Hospitals
565
States
48
Filings dated
Jan 2024 – 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 565 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
$1,050$1,673$6,841$15,335$34,900

The most expensive tenth of hospitals charges at least 33× what the cheapest tenth charges ($1,050 vs $34,900).

How the prices are spread

$755 – $1,160: 55 hospitals$755$1,160 – $1,782: 71 hospitals$1,782 – $2,739: 50 hospitals$1,782$2,739 – $4,207: 39 hospitals$4,207 – $6,464: 31 hospitals$4,207$6,464 – $9,932: 53 hospitals$9,932 – $15,259: 96 hospitals$9,932$15,259 – $23,444: 34 hospitals$23,444 – $36,020: 56 hospitals$23,444$36,020 – $55,341: 24 hospitals$36,020median $6,841price bands are equal on a log scale
Hospitals per price band (509 of 565 — the bands cover the 5th to 95th percentile)
FromToHospitals
$755$1,16055
$1,160$1,78271
$1,782$2,73950
$2,739$4,20739
$4,207$6,46431
$6,464$9,93253
$9,932$15,25996
$15,259$23,44434
$23,444$36,02056
$36,020$55,34124

Against Medicare

Medicare pays (OPPS 2026, national rate)$10,860
Median cash price$6,841
Cash as a multiple of Medicare0.63×

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 $6,841.

Alaska: 3 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 2 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 3 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 5 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 9 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: median $26,271 across 11 hospitalsID$26,271Montana: 5 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 2 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $4,741 across 18 hospitalsMN$4,741Illinois: median $2,001 across 23 hospitalsIL$2,001Wisconsin: median $8,381 across 28 hospitalsWI$8,381Michigan: median $1,880 across 41 hospitalsMI$1,880New York: median $12,320 across 48 hospitalsNY$12,320Massachusetts: 2 hospitals filed a usable price — fewer than 10, so no figureMAOregon: median $1,209 across 11 hospitalsOR$1,209Nevada: 4 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 3 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: no hospital in the corpus filed a usable priceSDIowa: median $1,673 across 23 hospitalsIA$1,673Indiana: median $22,243 across 16 hospitalsIN$22,243Ohio: median $11,178 across 24 hospitalsOH$11,178Pennsylvania: median $6,841 across 25 hospitalsPA$6,841New Jersey: median $11,378 across 32 hospitalsNJ$11,378Connecticut: 7 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 1 hospital filed a usable price — fewer than 10, so no figureRICalifornia: median $24,830 across 37 hospitalsCA$24,830Utah: no hospital in the corpus filed a usable priceUTColorado: 7 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 8 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: median $22,304 across 14 hospitalsMO$22,304Kentucky: 4 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: median $702 across 14 hospitalsWV$702Virginia: median $9,562 across 11 hospitalsVA$9,562Maryland: 2 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 1 hospital filed a usable price — fewer than 10, so no figureDEArizona: 5 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 1 hospital filed a usable price — fewer than 10, so no figureNMKansas: 4 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: median $4,350 across 11 hospitalsAR$4,350Tennessee: median $1,663 across 10 hospitalsTN$1,663North Carolina: 3 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: 6 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $1,096 across 14 hospitalsOK$1,096Louisiana: median $6,994 across 10 hospitalsLA$6,994Mississippi: 4 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: median $10,477 across 11 hospitalsAL$10,477Georgia: 1 hospital filed a usable price — fewer than 10, so no figureGAHawaii: 5 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $12,358 across 25 hospitalsTX$12,358Florida: median $13,514 across 11 hospitalsFL$13,514
Cash price by state, most expensive first. National median $6,841. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Idaho ID11$26,271+284%$6,695 – $26,271
California CA37$24,830+263%$1,934 – $24,830
Missouri MO14$22,304+226%$6,091 – $54,666
Indiana IN16$22,243+225%$1,050 – $40,319
Florida FL11$13,514+98%$3,432 – $13,557
Texas TX25$12,358+81%$9,944 – $12,924
New York NY48$12,320+80%$1,812 – $13,784
New Jersey NJ32$11,378+66%$5,110 – $13,753
Ohio OH24$11,178+63%$2,669 – $56,228
Alabama AL11$10,477+53%$1,949 – $27,794
Virginia VA11$9,562+40%$9,335 – $24,341
Wisconsin WI28$8,381+23%$3,121 – $9,353
Louisiana LA10$6,994+2%$3,898 – $22,351
Pennsylvania PA25$6,8410%$428 – $21,297
Minnesota MN18$4,741−31%$2,368 – $5,168
Arkansas AR11$4,350−36%$1,591 – $6,931
Illinois IL23$2,001−71%$1,050 – $91,320
Michigan MI41$1,880−73%$1,281 – $14,616
Iowa IA23$1,673−76%$1,673 – $2,681
Tennessee TN10$1,663−76%$893 – $11,199
Oregon OR11$1,209−82%$1,209 – $1,922
Oklahoma OK14$1,096−84%$1,096 – $21,226
West Virginia WV14$702−90%$688 – $7,805
Washington WA9not enough hospitals filed a usable price
Nebraska NE8not enough hospitals filed a usable price
Colorado CO7not enough hospitals filed a usable price
Connecticut CT7not enough hospitals filed a usable price
South Carolina SC6not enough hospitals filed a usable price
Arizona AZ5not enough hospitals filed a usable price
Hawaii HI5not enough hospitals filed a usable price
Montana MT5not enough hospitals filed a usable price
New Hampshire NH5not enough hospitals filed a usable price
Kansas KS4not enough hospitals filed a usable price
Kentucky KY4not enough hospitals filed a usable price
Mississippi MS4not enough hospitals filed a usable price
Nevada NV4not enough hospitals filed a usable price
Alaska AK3not enough hospitals filed a usable price
North Carolina NC3not enough hospitals filed a usable price
Vermont VT3not enough hospitals filed a usable price
Wyoming WY3not enough hospitals filed a usable price
Massachusetts MA2not enough hospitals filed a usable price
Maryland MD2not enough hospitals filed a usable price
Maine ME2not enough hospitals filed a usable price
North Dakota ND2not enough hospitals filed a usable price
Delaware DE1not enough hospitals filed a usable price
Georgia GA1not enough hospitals filed a usable price
New Mexico NM1not enough hospitals filed a usable price
Rhode Island RI1not 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 $6,841.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care473$9,353$1,591 – $24,830
Children’s5fewer than 20 hospitals
Critical access85$2,161$1,050 – $8,381
Ownership
For-profit54$12,358$1,281 – $30,361
Government75$2,795$1,273 – $13,044
Non-profit434$6,841$1,376 – $22,420
System affiliation
Part of a system453$8,381$1,620 – $24,830
Independent112$2,209$1,178 – $13,753

Cash price vs list price

Median list price (chargemaster)$5,280
Median cash price$6,841
Cash as a share of list, median hospital60%

At the typical hospital, asking for the cash price cuts the list price by about 40%. 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

255 hospitals filed a usable inpatient cash price for this code. The median is $1,801 and the average of the middle 60% is $3,225; most fall between $1,050 and $11,524.

Cash price percentiles, inpatient, across 255 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
$683$1,096$1,801$9,335$24,830

The most expensive tenth of hospitals charges at least 36× what the cheapest tenth charges ($683 vs $24,830).

Of the 285 hospitals that filed this code inpatient, 255 gave a usable cash price; 22 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 8 a list price only.

How complete is this

565 of the 3,956 hospitals with a price file in our corpus (14%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 626 hospitals that filed this code at all gave us
Usable cash price — counted565
Cash price carrying a plausibility flag — shown on the compare tool, excluded here46
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded2
An estimate rather than a filed cash price — excluded6
A list price only, no cash figure — excluded7
Hospitals that filed this code626

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 Bilateral Total Pelvic Lmphadectomy.

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 pelvic lymph nodes on both sides (CPT 38571) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-38571-keyhole-removal-of-pelvic-lymph-nodes-on-both-sides