32551

Removal of fluid from between lung and chest cavity

Medicare pricing data for 15,795 providers across 52 states

🤖AI Overview

This procedure has a 5.1x markup — hospitals charge $741.26 but Medicare allows only $145.88. Uninsured patients may face bills 5.1 times higher than what insurance negotiates. Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.

💡 What You Should Know

Removal of fluid from between lung and chest cavity (HCPCS code 32551) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $145.88, but hospitals typically charge $741.26 — a 5.1x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$29.18

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $145.88, your out-of-pocket cost would be approximately $29.18. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$145.88
Average Hospital Charge
$741.26
Markup Ratio
5.1x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$741.26
Medicare Allowed$145.88
Medicare Payment$115.45

Hospitals charge 5.1x more than what Medicare allows for this procedure. Medicare actually pays $115.45 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$172$1,4673864+18.2%
New York$163$9778831,466+11.7%
New Jersey$161$823359672+10.3%
District of Columbia$158$64579136+8.4%
Illinois$155$966593914+6.1%
Connecticut$153$816166281+5.1%
Florida$153$7561,1361,878+5.0%
Nevada$153$670143249+4.6%
Rhode Island$152$8435677+4.3%
California$150$7181,2952,363+3.0%
Massachusetts$149$660381624+2.2%
Maryland$148$686281547+1.3%
Hawaii$147$5415479+1.1%
Michigan$147$669571821+0.8%
Pennsylvania$147$6687281,122+0.8%
New Hampshire$147$935100135+0.6%
Montana$146$61066104+0.4%
Colorado$146$713289434+0.3%
Louisiana$146$920230341+0.1%
Wyoming$146$8612635+0.1%
New Mexico$145$67198163-0.3%
Virginia$145$622436762-0.4%
Washington$145$675325467-0.4%
Vermont$144$7765278-1.4%
Georgia$143$707455718-1.7%
Utah$143$615114176-1.8%
Texas$143$7631,1071,944-2.0%
Ohio$143$6766531,016-2.1%
West Virginia$143$658148220-2.1%
Delaware$142$70965124-2.4%
Missouri$142$625436755-2.4%
Oregon$142$608185241-2.5%
Puerto Rico$142$5361719-2.9%
Maine$141$68070106-3.0%
Arizona$140$656295471-3.7%
Alabama$140$681257476-3.7%
North Carolina$140$707508749-3.8%
Kentucky$139$640307572-4.6%
Mississippi$139$818183343-4.8%
South Carolina$139$749337577-4.8%
Oklahoma$139$672229436-4.9%
North Dakota$139$6444160-5.0%
Idaho$137$6236395-6.0%
South Dakota$137$5815076-6.2%
Kansas$136$628145313-6.6%
Arkansas$136$596200476-6.6%
Minnesota$136$858278375-6.8%
Iowa$136$610147282-7.1%
Tennessee$135$720361674-7.2%
Wisconsin$135$1,447248372-7.3%
Indiana$131$695388617-10.2%
Nebraska$122$53898168-16.7%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

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💊 Need post-procedure medications? Check costs on OpenPrescriber