CPT 32551 Surgery - Respiratory

How Much Does Insertion of Chest Tube Cost?

Also known as: Insertion of chest tube (CPT 32551)

Chest tube insertion (tube thoracostomy) to drain air, blood, or fluid from around the lung.

The total estimated cost of Insertion of Chest Tube (CPT 32551) is $481 to $901, including hospital fees, anesthesia, and supplies. The surgeon's Medicare fee alone is $143.

Total Estimated Cost of Care

$481 — $901

This estimate includes hospital facility fees, anesthesia, and supplies .

Surgeon/Physician Fee
$143
Hospital Facility Fee
$429
Anesthesia (est.)
$29
Important: The physician fee of $143 shown in the cost cards below is what Medicare pays the surgeon/doctor only. The hospital charges a separate facility fee that typically makes up 70-85% of the total cost.
Medicare Physician Fee (Facility Setting)
$143
Physician component only — CMS PFS 2026

Patient Guide: Insertion of Chest Tube

What you need to know before your appointment

What to Expect

The doctor numbs the area on the side of your chest, makes a small incision, and inserts a tube into the space around your lung. The tube is connected to a drainage system.

How Long Does It Take?

15-30 minutes

Common Reasons Doctors Order This

Collapsed lung (pneumothorax), fluid around the lung (pleural effusion), blood around the lung (hemothorax), post-trauma

How to Prepare

This is often done urgently. Local anesthesia is provided. The tube may remain for several days until the issue resolves.

Procedures Commonly Done Together

These procedures are frequently performed alongside Insertion of chest tube

Loading related procedures...

How to Reduce Your Cost for Insertion of chest tube

Practical tips that can save you hundreds or thousands of dollars

  • 1
    Ask about cash-pay discounts

    Many hospitals and clinics offer 20-40% discounts for self-pay patients. Always ask before scheduling.

  • 2
    Compare facility vs. office setting costs

    Some procedures cost significantly less in an office setting than a hospital. Ask your provider about options.

  • 3
    Shop around — costs vary significantly

    Costs can vary 2-3x between providers in the same city. Get quotes from multiple facilities.

How is the Price Calculated?

Medicare calculates procedure payments using Relative Value Units (RVUs). Each procedure has three components multiplied by a conversion factor ($33.40 in 2026) and adjusted by geographic cost indices.

2.96
Work RVU
0.77
Practice Expense RVU
0.55
Malpractice RVU
4.28
Total RVU

Payment = Total RVU (4.28) x CF ($33.40) = $143

Frequently Asked Questions

How much does Insertion of chest tube cost?

The Medicare facility rate for Insertion of chest tube is $143. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).

How much does Insertion of chest tube cost without insurance?

Without insurance, the cost of Insertion of chest tube can range from 150% of Medicare to 500% of Medicare depending on the facility. Many hospitals and clinics offer self-pay discounts of 20-40% off their chargemaster price. Always ask about cash pricing before your visit.

Does insurance cover Insertion of chest tube?

Most commercial health insurance plans and Medicare cover Insertion of chest tube when ordered by a physician for a medically necessary reason. Your out-of-pocket cost depends on your plan's deductible, copay/coinsurance structure, and whether you use an in-network provider. Check with your insurance company before scheduling to confirm coverage and get a cost estimate.

Why does the cost vary so much by location?

Medicare adjusts payments using Geographic Practice Cost Indices (GPCIs) that reflect local differences in physician work costs, practice expenses, and malpractice insurance. Manhattan, San Francisco, and other high-cost areas pay significantly more than rural regions. Commercial insurers follow similar geographic patterns.

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