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Procedure price report · Other non-OR gastrointestinal therapeutic procedures

Image-guided needle drainage of an organ abscess

CPT 49405the billing code this page is about

Drainage of a fluid collection such as an abscess, hematoma, or cyst inside an organ like the liver, kidney, or spleen, using a catheter placed through the skin with imaging guidance.

Hospitals typically charge $2,453 cash for this outpatient procedure — the median across 2,043 hospitals that filed a usable cash price; the average of the middle 60% is $2,568. Most fall between $1,314 and $4,358 (20th–80th percentile).

Hospitals
2,043
States
50
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 2,043 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
$857$1,526$2,453$3,765$5,366

The most expensive tenth of hospitals charges at least 6.3× what the cheapest tenth charges ($857 vs $5,366).

How the prices are spread

$555 – $717: 58 hospitals$555$717 – $925: 77 hospitals$925 – $1,195: 110 hospitals$925$1,195 – $1,542: 191 hospitals$1,542 – $1,991: 248 hospitals$1,542$1,991 – $2,570: 270 hospitals$2,570 – $3,318: 327 hospitals$2,570$3,318 – $4,283: 232 hospitals$4,283 – $5,529: 238 hospitals$4,283$5,529 – $7,137: 88 hospitals$5,529median $2,453price bands are equal on a log scale
Hospitals per price band (1,839 of 2,043 — the bands cover the 5th to 95th percentile)
FromToHospitals
$555$71758
$717$92577
$925$1,195110
$1,195$1,542191
$1,542$1,991248
$1,991$2,570270
$2,570$3,318327
$3,318$4,283232
$4,283$5,529238
$5,529$7,13788

Against Medicare

Medicare pays (OPPS 2026, national rate)$1,687
Median cash price$2,453
Cash as a multiple of Medicare1.45×

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 $2,453.

Alaska: 7 hospitals filed a usable price — fewer than 10, so no figureAKMaine: median $2,046 across 12 hospitalsME$2,046Vermont: 5 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: median $1,203 across 11 hospitalsNH$1,203Washington: median $2,219 across 48 hospitalsWA$2,219Idaho: median $3,680 across 17 hospitalsID$3,680Montana: median $1,421 across 18 hospitalsMT$1,421North Dakota: 8 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $1,798 across 48 hospitalsMN$1,798Illinois: median $2,231 across 87 hospitalsIL$2,231Wisconsin: median $2,785 across 71 hospitalsWI$2,785Michigan: median $1,976 across 71 hospitalsMI$1,976New York: median $2,062 across 77 hospitalsNY$2,062Massachusetts: median $4,026 across 34 hospitalsMA$4,026Oregon: median $2,335 across 39 hospitalsOR$2,335Nevada: median $1,776 across 12 hospitalsNV$1,776Wyoming: 7 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: median $3,978 across 10 hospitalsSD$3,978Iowa: median $2,162 across 30 hospitalsIA$2,162Indiana: median $2,850 across 64 hospitalsIN$2,850Ohio: median $3,283 across 110 hospitalsOH$3,283Pennsylvania: median $2,739 across 97 hospitalsPA$2,739New Jersey: median $2,162 across 57 hospitalsNJ$2,162Connecticut: median $2,624 across 15 hospitalsCT$2,624Rhode Island: 8 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $3,147 across 164 hospitalsCA$3,147Utah: median $2,847 across 26 hospitalsUT$2,847Colorado: median $3,833 across 41 hospitalsCO$3,833Nebraska: median $1,826 across 26 hospitalsNE$1,826Missouri: median $1,855 across 51 hospitalsMO$1,855Kentucky: median $2,620 across 30 hospitalsKY$2,620West Virginia: median $1,635 across 24 hospitalsWV$1,635Virginia: median $2,377 across 42 hospitalsVA$2,377Maryland: 8 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 7 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $1,012 across 35 hospitalsAZ$1,012New Mexico: 9 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $1,555 across 25 hospitalsKS$1,555Arkansas: median $1,456 across 16 hospitalsAR$1,456Tennessee: median $1,161 across 39 hospitalsTN$1,161North Carolina: median $1,734 across 57 hospitalsNC$1,734South Carolina: median $2,785 across 37 hospitalsSC$2,785Oklahoma: median $1,211 across 33 hospitalsOK$1,211Louisiana: median $2,181 across 34 hospitalsLA$2,181Mississippi: median $1,248 across 27 hospitalsMS$1,248Alabama: median $2,020 across 27 hospitalsAL$2,020Georgia: median $1,890 across 64 hospitalsGA$1,890Hawaii: median $1,293 across 11 hospitalsHI$1,293Texas: median $2,839 across 145 hospitalsTX$2,839Florida: median $2,899 across 102 hospitalsFL$2,899
Cash price by state, most expensive first. National median $2,453. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Massachusetts MA34$4,026+64%$2,141 – $4,812
South Dakota SD10$3,978+62%$3,978 – $5,198
Colorado CO41$3,833+56%$1,845 – $4,275
Idaho ID17$3,680+50%$572 – $4,347
Ohio OH110$3,283+34%$2,405 – $4,844
California CA164$3,147+28%$1,669 – $5,233
Florida FL102$2,899+18%$1,526 – $5,049
Indiana IN64$2,850+16%$1,614 – $3,588
Utah UT26$2,847+16%$2,847 – $3,349
Texas TX145$2,839+16%$2,294 – $5,212
Wisconsin WI71$2,785+14%$1,526 – $3,522
South Carolina SC37$2,785+14%$2,020 – $4,469
Pennsylvania PA97$2,739+12%$1,651 – $6,557
Connecticut CT15$2,624+7%$1,819 – $3,124
Kentucky KY30$2,620+7%$1,332 – $3,270
Virginia VA42$2,377−3%$2,133 – $3,502
Oregon OR39$2,335−5%$569 – $4,710
Illinois IL87$2,231−9%$858 – $4,077
Washington WA48$2,219−10%$1,280 – $3,937
Louisiana LA34$2,181−11%$1,183 – $3,687
Iowa IA30$2,162−12%$1,208 – $3,201
New Jersey NJ57$2,162−12%$1,793 – $5,187
New York NY77$2,062−16%$1,449 – $3,612
Maine ME12$2,046−17%$939 – $4,233
Alabama AL27$2,020−18%$1,086 – $3,500
Michigan MI71$1,976−19%$1,314 – $3,556
Georgia GA64$1,890−23%$1,505 – $3,765
Missouri MO51$1,855−24%$1,303 – $3,332
Nebraska NE26$1,826−26%$1,577 – $3,032
Minnesota MN48$1,798−27%$1,209 – $2,222
Nevada NV12$1,776−28%$794 – $3,444
North Carolina NC57$1,734−29%$1,174 – $3,074
West Virginia WV24$1,635−33%$201 – $3,875
Kansas KS25$1,555−37%$896 – $2,768
Arkansas AR16$1,456−41%$697 – $2,291
Montana MT18$1,421−42%$366 – $2,585
Hawaii HI11$1,293−47%$974 – $3,261
Mississippi MS27$1,248−49%$917 – $1,493
Oklahoma OK33$1,211−51%$817 – $1,814
New Hampshire NH11$1,203−51%$252 – $2,742
Tennessee TN39$1,161−53%$791 – $1,443
Arizona AZ35$1,012−59%$635 – $6,877
New Mexico NM9not enough hospitals filed a usable price
Maryland MD8not enough hospitals filed a usable price
North Dakota ND8not enough hospitals filed a usable price
Rhode Island RI8not enough hospitals filed a usable price
Alaska AK7not enough hospitals filed a usable price
Delaware DE7not enough hospitals filed a usable price
Wyoming WY7not enough hospitals filed a usable price
Vermont VT5not 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 $2,453.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,743$2,513$1,423 – $4,442
Children’s47$3,039$1,555 – $6,059
Critical access244$2,056$835 – $3,588
Ownership
For-profit201$2,621$1,333 – $5,207
Government276$1,917$1,117 – $3,523
Non-profit1,557$2,551$1,401 – $4,384
System affiliation
Part of a system1,741$2,559$1,401 – $4,433
Independent302$2,049$885 – $4,007

Cash price vs list price

Median list price (chargemaster)$4,459
Median cash price$2,453
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

1,577 hospitals filed a usable inpatient cash price for this code. The median is $2,742 and the average of the middle 60% is $2,733; most fall between $1,401 and $4,534.

Cash price percentiles, inpatient, across 1,577 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
$932$1,560$2,742$4,016$5,463

The most expensive tenth of hospitals charges at least 5.9× what the cheapest tenth charges ($932 vs $5,463).

Of the 1,697 hospitals that filed this code inpatient, 1,577 gave a usable cash price; 46 carried a plausibility flag, 1 filed a number their own filing marks as not a price, 0 gave an estimate, and 73 a list price only.

How complete is this

2,043 of the 3,956 hospitals with a price file in our corpus (52%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 2,205 hospitals that filed this code at all gave us
Usable cash price — counted2,043
Cash price carrying a plausibility flag — shown on the compare tool, excluded here81
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded1
A list price only, no cash figure — excluded79
Hospitals that filed this code2,205

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 non-OR gastrointestinal therapeutic procedures family.

Hospitals file this code under descriptions such as Image-Guide Fluid Collxn Drainage Cath Visc Perq.

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, “Image-guided needle drainage of an organ abscess (CPT 49405) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-49405-image-guided-needle-drainage-of-an-organ-abscess