CPT 39402 Surgery - Mediastinum/Diaphragm
Mediastinoscpy w/lmph nod bx Cost
Body System: Respiratory
Medicare Facility Rate
$378
CMS PFS CY2026
Medicare Non-Facility Rate
$378
Office/clinic setting
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
7.07
Work RVU
2.48
Facility PE RVU
1.76
Malpractice RVU
11.31
Total RVU
Frequently Asked Questions
How much does Mediastinoscpy w/lmph nod bx cost?
The Medicare facility rate is $378. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does Mediastinoscpy w/lmph nod bx 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.