CPT 38510 Surgery - Hemic/Lymphatic

Biopsy/removal lymph nodes Cost

Body System: Hemic/Lymphatic

Medicare Facility Rate
$378
CMS PFS CY2026
Medicare Non-Facility Rate
$551
Office/clinic setting
Hospital Outpatient
$4
OPPS rate
Surgery Center (ASC)
$1
ASC rate

Relative Value Units (RVUs)

Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)

6.57
Work RVU
3.48
Facility PE RVU
1.27
Malpractice RVU
16.50
Total RVU

Frequently Asked Questions

How much does Biopsy/removal lymph nodes cost?

The Medicare facility rate is $378. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $4. Ambulatory surgery center rate: $1.

How much does Biopsy/removal lymph nodes 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 $378.

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