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

Unlisted keyhole procedure on the lymphatic system

CPT 38589the billing code this page is about

Used for a camera-guided lymphatic system operation that has no specific billing code of its own.

Hospitals typically charge $6,376 cash for this outpatient procedure — the median across 223 hospitals that filed a usable cash price; the average of the middle 60% is $6,422. Most fall between $3,051 and $10,737 (20th–80th percentile).

Hospitals
223
States
34
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 223 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
$1,246$3,601$6,376$10,489$22,263

The most expensive tenth of hospitals charges at least 18× what the cheapest tenth charges ($1,246 vs $22,263).

How the prices are spread

$830 – $1,237: 11 hospitals$830$1,237 – $1,844: 14 hospitals$1,844 – $2,749: 7 hospitals$1,844$2,749 – $4,099: 31 hospitals$4,099 – $6,112: 31 hospitals$4,099$6,112 – $9,113: 55 hospitals$9,113 – $13,588: 24 hospitals$9,113$13,588 – $20,260: 16 hospitals$20,260 – $30,207: 6 hospitals$20,260$30,207 – $45,039: 6 hospitals$30,207median $6,376price bands are equal on a log scale
Hospitals per price band (201 of 223 — the bands cover the 5th to 95th percentile)
FromToHospitals
$830$1,23711
$1,237$1,84414
$1,844$2,7497
$2,749$4,09931
$4,099$6,11231
$6,112$9,11355
$9,113$13,58824
$13,588$20,26016
$20,260$30,2076
$30,207$45,0396

Against Medicare

Medicare pays (OPPS 2026, national rate)$6,176
Median cash price$6,376
Cash as a multiple of Medicare1.03×

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 $6,376.

Alaska: 1 hospital filed a usable price — fewer than 10, so no figureAKMaine: no hospital in the corpus filed a usable priceMEVermont: no hospital in the corpus filed a usable priceVTNew Hampshire: no hospital in the corpus filed a usable priceNHWashington: 1 hospital filed a usable price — fewer than 10, so no figureWAIdaho: 4 hospitals filed a usable price — fewer than 10, so no figureIDMontana: no hospital in the corpus filed a usable priceMTNorth Dakota: no hospital in the corpus filed a usable priceNDMinnesota: median $1,648 across 15 hospitalsMN$1,648Illinois: 7 hospitals filed a usable price — fewer than 10, so no figureILWisconsin: median $8,319 across 11 hospitalsWI$8,319Michigan: 7 hospitals filed a usable price — fewer than 10, so no figureMINew York: median $6,904 across 22 hospitalsNY$6,904Massachusetts: 1 hospital filed a usable price — fewer than 10, so no figureMAOregon: no hospital in the corpus filed a usable priceORNevada: 1 hospital 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: 5 hospitals filed a usable price — fewer than 10, so no figureIAIndiana: 1 hospital filed a usable price — fewer than 10, so no figureINOhio: 4 hospitals filed a usable price — fewer than 10, so no figureOHPennsylvania: 8 hospitals filed a usable price — fewer than 10, so no figurePANew Jersey: median $6,376 across 23 hospitalsNJ$6,376Connecticut: no hospital in the corpus filed a usable priceCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $3,601 across 26 hospitalsCA$3,601Utah: no hospital in the corpus filed a usable priceUTColorado: 2 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 1 hospital filed a usable price — fewer than 10, so no figureNEMissouri: 5 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 1 hospital filed a usable price — fewer than 10, so no figureKYWest Virginia: 3 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: 2 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: 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: 4 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 3 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 3 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: no hospital in the corpus filed a usable priceNCSouth Carolina: 3 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: 3 hospitals filed a usable price — fewer than 10, so no figureOKLouisiana: 5 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 2 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 2 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: no hospital in the corpus filed a usable priceGAHawaii: no hospital in the corpus filed a usable priceHITexas: median $6,473 across 34 hospitalsTX$6,473Florida: 9 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $6,376. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Wisconsin WI11$8,319+30%$3,214 – $8,319
New York NY22$6,904+8%$6,176 – $7,547
Texas TX34$6,473+2%$5,269 – $10,489
New Jersey NJ23$6,3760%$4,881 – $6,839
California CA26$3,601−44%$3,601 – $3,601
Minnesota MN15$1,648−74%$1,030 – $1,648
Florida FL9not enough hospitals filed a usable price
Pennsylvania PA8not enough hospitals filed a usable price
Illinois IL7not enough hospitals filed a usable price
Michigan MI7not enough hospitals filed a usable price
Iowa IA5not enough hospitals filed a usable price
Louisiana LA5not enough hospitals filed a usable price
Missouri MO5not enough hospitals filed a usable price
Idaho ID4not enough hospitals filed a usable price
Kansas KS4not enough hospitals filed a usable price
Ohio OH4not enough hospitals filed a usable price
Arkansas AR3not enough hospitals filed a usable price
Arizona AZ3not enough hospitals filed a usable price
Oklahoma OK3not enough hospitals filed a usable price
South Carolina SC3not enough hospitals filed a usable price
Tennessee TN3not enough hospitals filed a usable price
West Virginia WV3not enough hospitals filed a usable price
Alabama AL2not enough hospitals filed a usable price
Colorado CO2not enough hospitals filed a usable price
Mississippi MS2not enough hospitals filed a usable price
Virginia VA2not enough hospitals filed a usable price
Alaska AK1not enough hospitals filed a usable price
Indiana IN1not enough hospitals filed a usable price
Kentucky KY1not enough hospitals filed a usable price
Massachusetts MA1not enough hospitals filed a usable price
Nebraska NE1not enough hospitals filed a usable price
Nevada NV1not enough hospitals filed a usable price
Washington WA1not 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 $6,376.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care201$6,463$3,601 – $12,296
Children’s2fewer than 20 hospitals
Critical access20$3,214$1,648 – $8,319
Ownership
For-profit27$9,284$5,269 – $16,367
Government29$6,904$2,040 – $15,011
Non-profit167$5,419$2,373 – $10,489
System affiliation
Part of a system185$6,458$3,601 – $10,489
Independent38$5,856$1,041 – $15,476

Cash price vs list price

Median list price (chargemaster)$6,430
Median cash price$6,376
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.

How complete is this

223 of the 3,956 hospitals with a price file in our corpus (6%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 268 hospitals that filed this code at all gave us
Usable cash price — counted223
Cash price carrying a plausibility flag — shown on the compare tool, excluded here38
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded3
An estimate rather than a filed cash price — excluded2
A list price only, no cash figure — excluded2
Hospitals that filed this code268

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 Other therapeutic procedures, hemic and lymphatic system family.

Hospitals file this code under descriptions such as PR Laparoscopic Identification of Sentinel Lymph Nodes C/T 38900.

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, “Unlisted keyhole procedure on the lymphatic system (CPT 38589) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-38589-unlisted-keyhole-procedure-on-the-lymphatic-system