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Procedure price report · Other OR therapeutic procedures on respiratory system

Surgical tightening of a weakened, high-riding diaphragm

CPT 39545the billing code this page is about

Surgery through the chest or abdomen to fold and tighten a stretched or raised diaphragm, whether or not the muscle is paralyzed.

Hospitals typically charge $2,182 cash for this outpatient procedure — the median across 228 hospitals that filed a usable cash price; the average of the middle 60% is $2,292. Most fall between $1,120 and $3,821 (20th–80th percentile).

Hospitals
228
States
42
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 228 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
$872$1,305$2,182$3,814$5,501

The most expensive tenth of hospitals charges at least 6.3× what the cheapest tenth charges ($872 vs $5,501).

How the prices are spread

$575 – $732: 9 hospitals$575$732 – $932: 8 hospitals$932 – $1,186: 23 hospitals$932$1,186 – $1,509: 26 hospitals$1,509 – $1,921: 22 hospitals$1,509$1,921 – $2,444: 44 hospitals$2,444 – $3,111: 10 hospitals$2,444$3,111 – $3,959: 36 hospitals$3,959 – $5,039: 13 hospitals$3,959$5,039 – $6,413: 15 hospitals$5,039median $2,182price bands are equal on a log scale
Hospitals per price band (206 of 228 — the bands cover the 5th to 95th percentile)
FromToHospitals
$575$7329
$732$9328
$932$1,18623
$1,186$1,50926
$1,509$1,92122
$1,921$2,44444
$2,444$3,11110
$3,111$3,95936
$3,959$5,03913
$5,039$6,41315

By state

The median cash price in each state, against the national median of $2,182.

Alaska: 1 hospital filed a usable price — fewer than 10, so no figureAKMaine: 1 hospital filed a usable price — fewer than 10, so no figureMEVermont: 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: 4 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: 1 hospital filed a usable price — fewer than 10, so no figureIDMontana: 1 hospital filed a usable price — fewer than 10, so no figureMTNorth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureNDMinnesota: 4 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: median $1,486 across 10 hospitalsIL$1,486Wisconsin: median $3,821 across 24 hospitalsWI$3,821Michigan: median $2,346 across 27 hospitalsMI$2,346New York: median $2,191 across 14 hospitalsNY$2,191Massachusetts: no hospital in the corpus filed a usable priceMAOregon: median $1,632 across 10 hospitalsOR$1,632Nevada: 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: no hospital in the corpus filed a usable priceSDIowa: median $2,182 across 16 hospitalsIA$2,182Indiana: 5 hospitals filed a usable price — fewer than 10, so no figureINOhio: median $3,601 across 11 hospitalsOH$3,601Pennsylvania: median $650 across 15 hospitalsPA$650New Jersey: median $5,110 across 13 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: 2 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 2 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 2 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 $1,017 across 10 hospitalsWV$1,017Virginia: 3 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: 3 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 1 hospital filed a usable price — fewer than 10, so no figureNMKansas: 3 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 2 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 1 hospital 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 $1,462 across 10 hospitalsOK$1,462Louisiana: 1 hospital filed a usable price — fewer than 10, so no figureLAMississippi: no hospital in the corpus filed a usable priceMSAlabama: 2 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: 4 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $2,182. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
New Jersey NJ13$5,110+134%$3,986 – $5,855
Wisconsin WI24$3,821+75%$3,434 – $9,971
Ohio OH11$3,601+65%$1,657 – $3,814
Michigan MI27$2,346+8%$1,749 – $3,821
New York NY14$2,1910%$1,067 – $2,712
Iowa IA16$2,1820%$2,182 – $2,182
Oregon OR10$1,632−25%$1,632 – $1,968
Illinois IL10$1,486−32%$1,120 – $1,740
Oklahoma OK10$1,462−33%$1,462 – $1,462
West Virginia WV10$1,017−53%$956 – $2,535
Pennsylvania PA15$650−70%$550 – $5,501
Indiana IN5not enough hospitals filed a usable price
California CA4not enough hospitals filed a usable price
Florida FL4not enough hospitals filed a usable price
Minnesota MN4not enough hospitals filed a usable price
New Hampshire NH4not enough hospitals filed a usable price
Washington WA4not enough hospitals filed a usable price
Arizona AZ3not enough hospitals filed a usable price
Kansas KS3not enough hospitals filed a usable price
Kentucky KY3not enough hospitals filed a usable price
Texas TX3not enough hospitals filed a usable price
Virginia VA3not enough hospitals filed a usable price
Alabama AL2not enough hospitals filed a usable price
Arkansas AR2not enough hospitals filed a usable price
Colorado CO2not enough hospitals filed a usable price
Missouri MO2not enough hospitals filed a usable price
Nebraska NE2not enough hospitals filed a usable price
Nevada NV2not enough hospitals filed a usable price
Vermont VT2not enough hospitals filed a usable price
Wyoming WY2not enough hospitals filed a usable price
Alaska AK1not enough hospitals filed a usable price
Delaware DE1not 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
Maine ME1not enough hospitals filed a usable price
Montana MT1not 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
Tennessee TN1not 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 $2,182.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care175$2,182$1,120 – $3,821
Children’s9fewer than 20 hospitals
Critical access43$2,182$1,120 – $3,821
Ownership
For-profit15fewer than 20 hospitals
Government25$1,587$754 – $2,825
Non-profit187$2,182$1,268 – $3,821
System affiliation
Part of a system186$2,182$1,120 – $3,821
Independent42$1,749$980 – $3,601

Cash price vs list price

Median list price (chargemaster)$2,727
Median cash price$2,182
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

154 hospitals filed a usable inpatient cash price for this code. The median is $1,728 and the average of the middle 60% is $2,184; most fall between $1,120 and $3,821.

Cash price percentiles, inpatient, across 154 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
$872$1,231$1,728$3,141$4,466

The most expensive tenth of hospitals charges at least 5.1× what the cheapest tenth charges ($872 vs $4,466).

Of the 173 hospitals that filed this code inpatient, 154 gave a usable cash price; 12 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

228 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 266 hospitals that filed this code at all gave us
Usable cash price — counted228
Cash price carrying a plausibility flag — shown on the compare tool, excluded here22
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 — excluded15
Hospitals that filed this code266

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 OR therapeutic procedures on respiratory system family.

Hospitals file this code under descriptions such as Imbrication Diaphragm Eventration.

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, “Surgical tightening of a weakened, high-riding diaphragm (CPT 39545) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-39545-surgical-tightening-of-a-weakened-high-riding-diaphragm