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Procedure price report · Other diagnostic procedures of respiratory tract and mediastinum

Scope exam between the lungs with lymph node biopsy

CPT 39402the billing code this page is about

A lighted scope is passed into the space between the lungs through a small incision and a sample is taken from one or more lymph nodes.

Hospitals typically charge $4,009 cash for this outpatient procedure — the median across 402 hospitals that filed a usable cash price; the average of the middle 60% is $3,726. Most fall between $696 and $8,126 (20th–80th percentile).

Hospitals
402
States
43
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 402 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
$493$798$4,009$7,132$13,631

The most expensive tenth of hospitals charges at least 28× what the cheapest tenth charges ($493 vs $13,631).

How the prices are spread

$403 – $586: 49 hospitals$403$586 – $852: 50 hospitals$852 – $1,239: 31 hospitals$852$1,239 – $1,802: 14 hospitals$1,802 – $2,621: 12 hospitals$1,802$2,621 – $3,812: 10 hospitals$3,812 – $5,543: 74 hospitals$3,812$5,543 – $8,061: 60 hospitals$8,061 – $11,723: 34 hospitals$8,061$11,723 – $17,047: 28 hospitals$11,723median $4,009price bands are equal on a log scale
Hospitals per price band (362 of 402 — the bands cover the 5th to 95th percentile)
FromToHospitals
$403$58649
$586$85250
$852$1,23931
$1,239$1,80214
$1,802$2,62112
$2,621$3,81210
$3,812$5,54374
$5,543$8,06160
$8,061$11,72334
$11,723$17,04728

Against Medicare

Medicare pays (OPPS 2026, national rate)$6,176
Median cash price$4,009
Cash as a multiple of Medicare0.65×

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 $4,009.

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: 5 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: 6 hospitals 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 $798 across 13 hospitalsIL$798Wisconsin: median $4,009 across 24 hospitalsWI$4,009Michigan: median $696 across 28 hospitalsMI$696New York: median $6,904 across 49 hospitalsNY$6,904Massachusetts: 3 hospitals filed a usable price — fewer than 10, so no figureMAOregon: median $839 across 12 hospitalsOR$839Nevada: 4 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 $985 across 14 hospitalsIA$985Indiana: 6 hospitals filed a usable price — fewer than 10, so no figureINOhio: median $1,885 across 10 hospitalsOH$1,885Pennsylvania: median $6,971 across 24 hospitalsPA$6,971New Jersey: median $6,458 across 32 hospitalsNJ$6,458Connecticut: 1 hospital filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $4,620 across 26 hospitalsCA$4,620Utah: no hospital in the corpus filed a usable priceUTColorado: 4 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 4 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 9 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 3 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: median $718 across 15 hospitalsWV$718Virginia: 4 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: no hospital in the corpus filed a usable priceMDDelaware: 1 hospital filed a usable price — fewer than 10, so no figureDEArizona: 6 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 1 hospital filed a usable price — fewer than 10, so no figureNMKansas: 5 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 3 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 7 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: 5 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $837 across 14 hospitalsOK$837Louisiana: 8 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: no hospital in the corpus filed a usable priceGAHawaii: no hospital in the corpus filed a usable priceHITexas: median $5,246 across 23 hospitalsTX$5,246Florida: 9 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $4,009. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Pennsylvania PA24$6,971+74%$257 – $10,994
New York NY49$6,904+72%$964 – $9,188
New Jersey NJ32$6,458+61%$5,110 – $7,785
Texas TX23$5,246+31%$4,713 – $15,322
California CA26$4,620+15%$1,124 – $4,620
Wisconsin WI24$4,0090%$1,429 – $5,029
Ohio OH10$1,885−53%$634 – $1,885
Iowa IA14$985−75%$985 – $985
Oregon OR12$839−79%$727 – $875
Oklahoma OK14$837−79%$837 – $3,042
Illinois IL13$798−80%$493 – $5,538
West Virginia WV15$718−82%$436 – $6,179
Michigan MI28$696−83%$510 – $8,313
Florida FL9not enough hospitals filed a usable price
Missouri MO9not enough hospitals filed a usable price
Alabama AL8not enough hospitals filed a usable price
Louisiana LA8not enough hospitals filed a usable price
Tennessee TN7not enough hospitals filed a usable price
Arizona AZ6not enough hospitals filed a usable price
Idaho ID6not enough hospitals filed a usable price
Indiana IN6not enough hospitals filed a usable price
Kansas KS5not enough hospitals filed a usable price
South Carolina SC5not enough hospitals filed a usable price
Washington WA5not enough hospitals filed a usable price
Colorado CO4not enough hospitals filed a usable price
Nebraska NE4not enough hospitals filed a usable price
New Hampshire NH4not enough hospitals filed a usable price
Nevada NV4not enough hospitals filed a usable price
Virginia VA4not enough hospitals filed a usable price
Arkansas AR3not enough hospitals filed a usable price
Kentucky KY3not enough hospitals filed a usable price
Massachusetts MA3not enough hospitals filed a usable price
Montana MT3not enough hospitals filed a usable price
Minnesota MN2not enough hospitals filed a usable price
Vermont VT2not enough hospitals filed a usable price
Alaska AK1not enough hospitals filed a usable price
Connecticut CT1not enough hospitals filed a usable price
Delaware DE1not 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
New Mexico NM1not 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 $4,009.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care343$4,620$727 – $8,727
Children’s5fewer than 20 hospitals
Critical access53$1,429$510 – $4,713
Ownership
For-profit34$4,362$570 – $16,562
Government46$5,316$798 – $10,350
Non-profit321$4,009$696 – $7,785
System affiliation
Part of a system337$4,009$696 – $8,126
Independent65$1,602$748 – $7,822

Cash price vs list price

Median list price (chargemaster)$1,766
Median cash price$4,009
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

220 hospitals filed a usable inpatient cash price for this code. The median is $1,169 and the average of the middle 60% is $2,409; most fall between $570 and $5,246.

Cash price percentiles, inpatient, across 220 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
$459$696$1,169$4,620$8,587

The most expensive tenth of hospitals charges at least 19× what the cheapest tenth charges ($459 vs $8,587).

Of the 244 hospitals that filed this code inpatient, 220 gave a usable cash price; 17 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 7 a list price only.

How complete is this

402 of the 3,956 hospitals with a price file in our corpus (10%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 447 hospitals that filed this code at all gave us
Usable cash price — counted402
Cash price carrying a plausibility flag — shown on the compare tool, excluded here39
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded1
A list price only, no cash figure — excluded5
Hospitals that filed this code447

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 diagnostic procedures of respiratory tract and mediastinum family.

Hospitals file this code under descriptions such as Mediastinoscopy With Lymph Node Biopsy/Ies.

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, “Scope exam between the lungs with lymph node biopsy (CPT 39402) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-39402-scope-exam-between-the-lungs-with-lymph-node-biopsy