38571

Removal of lymph nodes of both sides of pelvis using an endoscope

Medicare pricing data for 4,176 providers across 50 states

🤖AI Overview

This procedure has a 9.9x markup — hospitals charge $2,700 but Medicare allows only $273.34. Uninsured patients may face bills 9.9 times higher than what insurance negotiates. Prices vary significantly by location — from $178 in Idaho to $368 in District of Columbia. Where you get this procedure matters more than almost any other factor. 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 lymph nodes of both sides of pelvis using an endoscope (HCPCS code 38571) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $273.34, but hospitals typically charge $2,700 — a 9.9x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$54.67

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $273.34, your out-of-pocket cost would be approximately $54.67. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$273.34
Average Hospital Charge
$2,700
Markup Ratio
9.9x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$2,700.22
Medicare Allowed$273.34
Medicare Payment$218.14

Hospitals charge 9.9x more than what Medicare allows for this procedure. Medicare actually pays $218.14 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
District of Columbia$368$2,11821143+34.6%
West Virginia$322$2,1001139+17.9%
Georgia$318$3,008102412+16.4%
Hawaii$315$2,0131252+15.3%
Maryland$314$2,98667481+14.9%
New York$310$4,7522831,285+13.4%
Virginia$307$2,00788448+12.4%
Illinois$305$3,828147654+11.7%
Maine$305$2,0111241+11.6%
Nevada$301$2,3722093+10.2%
New Hampshire$298$6,5601482+9.2%
Pennsylvania$297$2,2572271,062+8.5%
Ohio$296$2,570150884+8.4%
Oklahoma$294$1,62647235+7.5%
California$293$2,6853711,911+7.1%
New Jersey$290$3,55198439+6.1%
Missouri$289$2,46694439+5.6%
Michigan$282$2,389131497+3.0%
Mississippi$279$2,39527118+2.1%
Alaska$279$9,0271677+2.1%
Indiana$279$2,54795417+2.0%
Arizona$278$3,16193512+1.8%
Texas$278$2,9102351,286+1.7%
Massachusetts$274$2,327126587+0.2%
South Carolina$274$2,65961399+0.1%
Louisiana$273$1,74462287-0.1%
Kentucky$272$1,52842216-0.3%
Tennessee$271$2,05395619-0.8%
Delaware$263$1,5961494-3.9%
Colorado$262$4,18987384-4.2%
Florida$261$1,8672521,794-4.6%
Kansas$259$2,02954265-5.4%
Arkansas$254$1,85827166-7.1%
Wisconsin$251$8,28796410-8.1%
Vermont$249$3,188963-8.7%
Rhode Island$246$1,7632165-9.9%
North Carolina$245$2,064130567-10.4%
New Mexico$239$1,9051753-12.5%
Iowa$237$1,96754266-13.3%
Montana$234$2,11933176-14.4%
Minnesota$232$2,400115634-15.2%
Oregon$227$1,76178404-16.8%
Washington$224$1,525138662-18.1%
Utah$223$1,87737195-18.4%
Alabama$219$1,83245262-20.0%
Connecticut$217$2,49357209-20.5%
North Dakota$216$2,005868-20.8%
Nebraska$200$1,78642340-26.9%
South Dakota$182$1,74030209-33.4%
Idaho$178$1,23434177-34.9%

⚠️ 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