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Procedure price report · Other non-OR therapeutic procedures on skin and breast

Light therapy with a drug applied to skin lesions

CPT 96567the billing code this page is about

Covers applying a light-activated medicine to the skin and shining light on it to treat precancerous or surface skin lesions, billed once per treatment session.

Hospitals typically charge $276 cash for this outpatient procedure — the median across 378 hospitals that filed a usable cash price; the average of the middle 60% is $303. Most fall between $180 and $540 (20th–80th percentile).

Hospitals
378
States
44
Filings dated
Jul 2024 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 25, 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 378 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
$139$214$276$429$700

The most expensive tenth of hospitals charges at least 5.0× what the cheapest tenth charges ($139 vs $700).

How the prices are spread

$102 – $127: 18 hospitals$102$127 – $158: 25 hospitals$158 – $196: 21 hospitals$158$196 – $243: 66 hospitals$243 – $302: 70 hospitals$243$302 – $375: 41 hospitals$375 – $466: 29 hospitals$375$466 – $579: 25 hospitals$579 – $720: 32 hospitals$579$720 – $894: 16 hospitals$720median $276price bands are equal on a log scale
Hospitals per price band (343 of 378 — the bands cover the 5th to 95th percentile)
FromToHospitals
$102$12718
$127$15825
$158$19621
$196$24366
$243$30270
$302$37541
$375$46629
$466$57925
$579$72032
$720$89416

Against Medicare

Medicare pays (OPPS 2026, national rate)$205
Median cash price$276
Cash as a multiple of Medicare1.35×

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 $276.

Alaska: no hospital in the corpus filed a usable priceAKMaine: no hospital in the corpus filed a usable priceMEVermont: 3 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: 5 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 5 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureNDMinnesota: median $762 across 15 hospitalsMN$762Illinois: median $161 across 20 hospitalsIL$161Wisconsin: median $221 across 40 hospitalsWI$221Michigan: median $180 across 13 hospitalsMI$180New York: median $235 across 26 hospitalsNY$235Massachusetts: 7 hospitals filed a usable price — fewer than 10, so no figureMAOregon: 2 hospitals filed a usable price — fewer than 10, so no figureORNevada: 1 hospital filed a usable price — fewer than 10, so no figureNVWyoming: 3 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 7 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $283 across 16 hospitalsIA$283Indiana: no hospital in the corpus filed a usable priceINOhio: median $385 across 11 hospitalsOH$385Pennsylvania: median $263 across 27 hospitalsPA$263New Jersey: median $220 across 13 hospitalsNJ$220Connecticut: 1 hospital filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $700 across 39 hospitalsCA$700Utah: no hospital in the corpus filed a usable priceUTColorado: 1 hospital filed a usable price — fewer than 10, so no figureCONebraska: 2 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 8 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 3 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 4 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: 5 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: 1 hospital filed a usable price — fewer than 10, so no figureMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 2 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 1 hospital filed a usable price — fewer than 10, so no figureNMKansas: 2 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 2 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 7 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 2 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: 7 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $251 across 12 hospitalsOK$251Louisiana: 9 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 5 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 3 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $282 across 10 hospitalsGA$282Hawaii: 1 hospital filed a usable price — fewer than 10, so no figureHITexas: median $425 across 16 hospitalsTX$425Florida: median $409 across 12 hospitalsFL$409
Cash price by state, most expensive first. National median $276. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Minnesota MN15$762+176%$224 – $894
California CA39$700+154%$369 – $700
Texas TX16$425+54%$425 – $540
Florida FL12$409+48%$287 – $571
Ohio OH11$385+39%$305 – $653
Iowa IA16$283+3%$283 – $283
Georgia GA10$282+2%$282 – $282
Pennsylvania PA27$263−5%$231 – $322
Oklahoma OK12$251−9%$251 – $251
New York NY26$235−15%$235 – $490
Wisconsin WI40$221−20%$152 – $833
New Jersey NJ13$220−20%$217 – $260
Michigan MI13$180−35%$152 – $276
Illinois IL20$161−41%$102 – $334
Louisiana LA9not enough hospitals filed a usable price
Missouri MO8not enough hospitals filed a usable price
Massachusetts MA7not enough hospitals filed a usable price
South Carolina SC7not enough hospitals filed a usable price
South Dakota SD7not enough hospitals filed a usable price
Tennessee TN7not enough hospitals filed a usable price
Idaho ID5not enough hospitals filed a usable price
Mississippi MS5not enough hospitals filed a usable price
Montana MT5not enough hospitals filed a usable price
Virginia VA5not enough hospitals filed a usable price
New Hampshire NH4not enough hospitals filed a usable price
Washington WA4not enough hospitals filed a usable price
West Virginia WV4not enough hospitals filed a usable price
Alabama AL3not enough hospitals filed a usable price
Kentucky KY3not enough hospitals filed a usable price
Vermont VT3not enough hospitals filed a usable price
Wyoming WY3not enough hospitals filed a usable price
Arkansas AR2not enough hospitals filed a usable price
Arizona AZ2not enough hospitals filed a usable price
Kansas KS2not enough hospitals filed a usable price
North Carolina NC2not enough hospitals filed a usable price
Nebraska NE2not enough hospitals filed a usable price
Oregon OR2not enough hospitals filed a usable price
Colorado CO1not enough hospitals filed a usable price
Connecticut CT1not enough hospitals filed a usable price
Hawaii HI1not enough hospitals filed a usable price
Maryland MD1not enough hospitals filed a usable price
North Dakota ND1not enough hospitals filed a usable price
New Mexico NM1not enough hospitals filed a usable price
Nevada NV1not 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 $276.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care302$282$205 – $540
Children’s6fewer than 20 hospitals
Critical access69$269$152 – $659
Ownership
For-profit24$228$119 – $540
Government44$242$180 – $370
Non-profit309$283$205 – $618
System affiliation
Part of a system330$282$196 – $571
Independent48$242$143 – $385

Cash price vs list price

Median list price (chargemaster)$490
Median cash price$276
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

248 hospitals filed a usable inpatient cash price for this code. The median is $311 and the average of the middle 60% is $352; most fall between $209 and $694.

Cash price percentiles, inpatient, across 248 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
$152$232$311$540$755

The most expensive tenth of hospitals charges at least 5.0× what the cheapest tenth charges ($152 vs $755).

Of the 264 hospitals that filed this code inpatient, 248 gave a usable cash price; 5 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 11 a list price only.

How complete is this

378 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 399 hospitals that filed this code at all gave us
Usable cash price — counted378
Cash price carrying a plausibility flag — shown on the compare tool, excluded here8
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded13
Hospitals that filed this code399

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 25, 2026; the figures were computed September 25, 2026 from filings loaded through September 25, 2026. The percentiles and averages use only the “counted” row.

Related procedures

Part of the Other non-OR therapeutic procedures on skin and breast family.

Hospitals file this code under descriptions such as Pdt Dstr Prmlg Les Skn Illum/Activj per Day.

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, “Light therapy with a drug applied to skin lesions (CPT 96567) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-96567-light-therapy-with-a-drug-applied-to-skin-lesions