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Procedure price report · Laparoscopy

Laparoscopy of the abdomen with biopsy

CPT 49321the billing code this page is about

A camera is inserted through small abdominal incisions and one or more tissue samples are taken from inside the abdomen.

Hospitals typically charge $2,169 cash for this outpatient procedure — the median across 917 hospitals that filed a usable cash price; the average of the middle 60% is $3,170. Most fall between $684 and $9,188 (20th–80th percentile).

Hospitals
917
States
50
Filings dated
Aug 2022 – 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 917 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
$512$769$2,169$7,410$15,384

The most expensive tenth of hospitals charges at least 30× what the cheapest tenth charges ($512 vs $15,384).

How the prices are spread

$356 – $542: 60 hospitals$356$542 – $824: 158 hospitals$824 – $1,254: 115 hospitals$824$1,254 – $1,907: 64 hospitals$1,907 – $2,900: 72 hospitals$1,907$2,900 – $4,411: 58 hospitals$4,411 – $6,708: 80 hospitals$4,411$6,708 – $10,202: 91 hospitals$10,202 – $15,516: 87 hospitals$10,202$15,516 – $23,598: 43 hospitals$15,516median $2,169price bands are equal on a log scale
Hospitals per price band (828 of 917 — the bands cover the 5th to 95th percentile)
FromToHospitals
$356$54260
$542$824158
$824$1,254115
$1,254$1,90764
$1,907$2,90072
$2,900$4,41158
$4,411$6,70880
$6,708$10,20291
$10,202$15,51687
$15,516$23,59843

Against Medicare

Medicare pays (OPPS 2026, national rate)$6,176
Median cash price$2,169
Cash as a multiple of Medicare0.35×

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 $2,169.

Alaska: 4 hospitals filed a usable price — fewer than 10, so no figureAKMaine: median $667 across 12 hospitalsME$667Vermont: median $525 across 10 hospitalsVT$525New Hampshire: median $569 across 10 hospitalsNH$569Washington: median $811 across 23 hospitalsWA$811Idaho: median $4,607 across 16 hospitalsID$4,607Montana: median $749 across 10 hospitalsMT$749North Dakota: 5 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $1,050 across 42 hospitalsMN$1,050Illinois: median $1,111 across 34 hospitalsIL$1,111Wisconsin: median $2,348 across 40 hospitalsWI$2,348Michigan: median $1,294 across 42 hospitalsMI$1,294New York: median $6,904 across 63 hospitalsNY$6,904Massachusetts: 8 hospitals filed a usable price — fewer than 10, so no figureMAOregon: median $863 across 25 hospitalsOR$863Nevada: 8 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 7 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 3 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $849 across 40 hospitalsIA$849Indiana: median $1,457 across 21 hospitalsIN$1,457Ohio: median $5,691 across 36 hospitalsOH$5,691Pennsylvania: median $978 across 33 hospitalsPA$978New Jersey: median $6,458 across 32 hospitalsNJ$6,458Connecticut: 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 $7,737 across 61 hospitalsCA$7,737Utah: 2 hospitals filed a usable price — fewer than 10, so no figureUTColorado: median $743 across 13 hospitalsCO$743Nebraska: median $887 across 17 hospitalsNE$887Missouri: median $4,079 across 30 hospitalsMO$4,079Kentucky: median $690 across 13 hospitalsKY$690West Virginia: median $1,395 across 20 hospitalsWV$1,395Virginia: median $12,943 across 16 hospitalsVA$12,943Maryland: 3 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 2 hospitals filed a usable price — fewer than 10, so no figureDEArizona: 6 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 8 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $752 across 26 hospitalsKS$752Arkansas: median $2,966 across 13 hospitalsAR$2,966Tennessee: median $4,200 across 15 hospitalsTN$4,200North Carolina: 5 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: 9 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $724 across 15 hospitalsOK$724Louisiana: median $4,926 across 21 hospitalsLA$4,926Mississippi: 8 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: median $4,324 across 13 hospitalsAL$4,324Georgia: median $1,092 across 12 hospitalsGA$1,092Hawaii: 6 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $6,043 across 36 hospitalsTX$6,043Florida: median $10,571 across 15 hospitalsFL$10,571
Cash price by state, most expensive first. National median $2,169. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Virginia VA16$12,943+497%$6,068 – $18,260
Florida FL15$10,571+387%$1,414 – $11,964
California CA61$7,737+257%$997 – $15,221
New York NY63$6,904+218%$819 – $9,188
New Jersey NJ32$6,458+198%$4,881 – $7,785
Texas TX36$6,043+179%$3,320 – $13,155
Ohio OH36$5,691+162%$603 – $20,453
Louisiana LA21$4,926+127%$2,496 – $10,961
Idaho ID16$4,607+112%$800 – $15,131
Alabama AL13$4,324+99%$975 – $15,618
Tennessee TN15$4,200+94%$323 – $7,559
Missouri MO30$4,079+88%$525 – $14,013
Arkansas AR13$2,966+37%$1,210 – $5,437
Wisconsin WI40$2,348+8%$1,368 – $4,135
Indiana IN21$1,457−33%$611 – $20,413
West Virginia WV20$1,395−36%$382 – $3,509
Michigan MI42$1,294−40%$679 – $8,313
Illinois IL34$1,111−49%$611 – $30,260
Georgia GA12$1,092−50%$1,092 – $6,034
Minnesota MN42$1,050−52%$600 – $2,535
Pennsylvania PA33$978−55%$188 – $10,994
Nebraska NE17$887−59%$771 – $4,501
Oregon OR25$863−60%$635 – $1,004
Iowa IA40$849−61%$758 – $1,338
Washington WA23$811−63%$638 – $4,438
Kansas KS26$752−65%$524 – $3,935
Montana MT10$749−65%$510 – $1,590
Colorado CO13$743−66%$593 – $3,459
Oklahoma OK15$724−67%$724 – $11,895
Kentucky KY13$690−68%$374 – $1,647
Maine ME12$667−69%$275 – $1,055
New Hampshire NH10$569−74%$343 – $1,620
Vermont VT10$525−76%$156 – $1,282
South Carolina SC9not enough hospitals filed a usable price
Massachusetts MA8not enough hospitals filed a usable price
Mississippi MS8not enough hospitals filed a usable price
New Mexico NM8not enough hospitals filed a usable price
Nevada NV8not enough hospitals filed a usable price
Connecticut CT7not enough hospitals filed a usable price
Wyoming WY7not enough hospitals filed a usable price
Arizona AZ6not enough hospitals filed a usable price
Hawaii HI6not enough hospitals filed a usable price
North Carolina NC5not enough hospitals filed a usable price
North Dakota ND5not enough hospitals filed a usable price
Alaska AK4not enough hospitals filed a usable price
Maryland MD3not enough hospitals filed a usable price
South Dakota SD3not enough hospitals filed a usable price
Delaware DE2not enough hospitals filed a usable price
Utah UT2not 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 $2,169.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care636$4,269$771 – $13,091
Children’s12fewer than 20 hospitals
Critical access266$944$611 – $2,348
Ownership
For-profit95$7,821$1,147 – $15,618
Government174$1,100$676 – $6,163
Non-profit645$2,169$667 – $9,188
System affiliation
Part of a system681$2,631$724 – $11,269
Independent236$1,071$619 – $6,137

Cash price vs list price

Median list price (chargemaster)$1,858
Median cash price$2,169
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

436 hospitals filed a usable inpatient cash price for this code. The median is $975 and the average of the middle 60% is $1,421; most fall between $521 and $4,780.

Cash price percentiles, inpatient, across 436 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
$276$594$975$2,974$11,084

The most expensive tenth of hospitals charges at least 40× what the cheapest tenth charges ($276 vs $11,084).

Of the 487 hospitals that filed this code inpatient, 436 gave a usable cash price; 21 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 30 a list price only.

How complete is this

917 of the 3,956 hospitals with a price file in our corpus (23%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,013 hospitals that filed this code at all gave us
Usable cash price — counted917
Cash price carrying a plausibility flag — shown on the compare tool, excluded here58
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded6
A list price only, no cash figure — excluded32
Hospitals that filed this code1,013

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 Laparoscopy family.

Hospitals file this code under descriptions such as Laparoscopy Surg W/Bx Single/Multiple.

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, “Laparoscopy of the abdomen with biopsy (CPT 49321) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-49321-laparoscopy-of-the-abdomen-with-biopsy