Removal of lymph nodes of both sides of pelvis using an endoscope
Medicare pricing data for 4,176 providers across 50 states
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
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.
What Hospitals Charge vs. What Medicare Pays
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
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| District of Columbia | $368 | $2,118 | 21 | 143 | +34.6% |
| West Virginia | $322 | $2,100 | 11 | 39 | +17.9% |
| Georgia | $318 | $3,008 | 102 | 412 | +16.4% |
| Hawaii | $315 | $2,013 | 12 | 52 | +15.3% |
| Maryland | $314 | $2,986 | 67 | 481 | +14.9% |
| New York | $310 | $4,752 | 283 | 1,285 | +13.4% |
| Virginia | $307 | $2,007 | 88 | 448 | +12.4% |
| Illinois | $305 | $3,828 | 147 | 654 | +11.7% |
| Maine | $305 | $2,011 | 12 | 41 | +11.6% |
| Nevada | $301 | $2,372 | 20 | 93 | +10.2% |
| New Hampshire | $298 | $6,560 | 14 | 82 | +9.2% |
| Pennsylvania | $297 | $2,257 | 227 | 1,062 | +8.5% |
| Ohio | $296 | $2,570 | 150 | 884 | +8.4% |
| Oklahoma | $294 | $1,626 | 47 | 235 | +7.5% |
| California | $293 | $2,685 | 371 | 1,911 | +7.1% |
| New Jersey | $290 | $3,551 | 98 | 439 | +6.1% |
| Missouri | $289 | $2,466 | 94 | 439 | +5.6% |
| Michigan | $282 | $2,389 | 131 | 497 | +3.0% |
| Mississippi | $279 | $2,395 | 27 | 118 | +2.1% |
| Alaska | $279 | $9,027 | 16 | 77 | +2.1% |
| Indiana | $279 | $2,547 | 95 | 417 | +2.0% |
| Arizona | $278 | $3,161 | 93 | 512 | +1.8% |
| Texas | $278 | $2,910 | 235 | 1,286 | +1.7% |
| Massachusetts | $274 | $2,327 | 126 | 587 | +0.2% |
| South Carolina | $274 | $2,659 | 61 | 399 | +0.1% |
| Louisiana | $273 | $1,744 | 62 | 287 | -0.1% |
| Kentucky | $272 | $1,528 | 42 | 216 | -0.3% |
| Tennessee | $271 | $2,053 | 95 | 619 | -0.8% |
| Delaware | $263 | $1,596 | 14 | 94 | -3.9% |
| Colorado | $262 | $4,189 | 87 | 384 | -4.2% |
| Florida | $261 | $1,867 | 252 | 1,794 | -4.6% |
| Kansas | $259 | $2,029 | 54 | 265 | -5.4% |
| Arkansas | $254 | $1,858 | 27 | 166 | -7.1% |
| Wisconsin | $251 | $8,287 | 96 | 410 | -8.1% |
| Vermont | $249 | $3,188 | 9 | 63 | -8.7% |
| Rhode Island | $246 | $1,763 | 21 | 65 | -9.9% |
| North Carolina | $245 | $2,064 | 130 | 567 | -10.4% |
| New Mexico | $239 | $1,905 | 17 | 53 | -12.5% |
| Iowa | $237 | $1,967 | 54 | 266 | -13.3% |
| Montana | $234 | $2,119 | 33 | 176 | -14.4% |
| Minnesota | $232 | $2,400 | 115 | 634 | -15.2% |
| Oregon | $227 | $1,761 | 78 | 404 | -16.8% |
| Washington | $224 | $1,525 | 138 | 662 | -18.1% |
| Utah | $223 | $1,877 | 37 | 195 | -18.4% |
| Alabama | $219 | $1,832 | 45 | 262 | -20.0% |
| Connecticut | $217 | $2,493 | 57 | 209 | -20.5% |
| North Dakota | $216 | $2,005 | 8 | 68 | -20.8% |
| Nebraska | $200 | $1,786 | 42 | 340 | -26.9% |
| South Dakota | $182 | $1,740 | 30 | 209 | -33.4% |
| Idaho | $178 | $1,234 | 34 | 177 | -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.
💊 Need post-procedure medications? Check costs on OpenPrescriber