CPT 32097 Surgery - Respiratory
Open wedge/bx lung nodule Cost
Body System: Respiratory
Medicare Facility Rate
$770
CMS PFS CY2026
Medicare Non-Facility Rate
$770
Office/clinic setting
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
13.41
Work RVU
6.32
Facility PE RVU
3.32
Malpractice RVU
23.05
Total RVU
Frequently Asked Questions
How much does Open wedge/bx lung nodule cost?
The Medicare facility rate is $770. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does Open wedge/bx lung nodule cost without insurance?
Without insurance, you may pay the hospital's chargemaster rate, which is often 300-500% of Medicare. Ask about cash-pay discounts — many facilities offer 20-40% off for self-pay patients. The Medicare baseline for this procedure is $770.