Price Checker / CPT 32609

CPT 32609Thoracoscopy w/bx pleura

2026 Medicare Physician Fee Schedule rates and hospital pricing data

Medicare Rate (Facility)

$239

What Medicare pays in a hospital/ASC setting

Medicare Rate (Office)

$239

What Medicare pays in a physician's office

Avg Hospital Charge

$21,612

Based on 31 hospital(s) in our database

What do these numbers mean?

The Medicare rateis what the federal government determines is a fair payment for this procedure. It's based on the Relative Value Unit (RVU) system, which accounts for physician work, practice expense, and malpractice cost. Hospitals and providers often charge 3-20x this amount. If your bill is significantly higher than the Medicare rate, you may have grounds to negotiate.

Hospital Charges for CPT 32609

From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.

HospitalGross ChargeCash Ratevs Medicare
Southlake Specialty Hospital LLC

Southlake, TX

16813%
Rochester General Hospital

, NY

$39,751$25,83816545%
St. Anthony Hospital

, WA

12084%
St. Clare Hospital

, WA

12084%
St. Francis Hospital

, WA

12084%
St. Joseph Medical Center

, WA

12084%
St. Anne Hospital

, WA

11049%
MaineHealth Maine Medical Center Portland

, ME

10639%
CHI Mercy Health Medical Center

, OR

9169%
"Mayo Clinic Hospital- Rochester

, Gonda Building"

$21,726$19,3368997%
"Mayo Clinic Hospital- Rochester

, Mayo Eugenio Litta Children's Hospital"

$21,726$19,3368997%
"Mayo Clinic Hospital- Rochester

, Methodist Campus"

$21,726$19,3368997%
Mayo Clinic Hospital-Rochester

, MN

$21,726$19,3368997%
"Mayo Clinic Hospital- Rochester

, Saint Marys Campus"

$21,726$19,3368997%
Mayo Clinic Arizona

, AZ

$21,208$15,9068780%

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About CPT 32609

CPT code 32609 refers to “Thoracoscopy w/bx pleura”. Under the 2026 Medicare Physician Fee Schedule, this procedure is reimbursed at $239 in a facility (hospital or ambulatory surgery center) and $239in a non-facility (physician's office) setting.

These rates are set by CMS (Centers for Medicare & Medicaid Services) and represent what the government considers a fair payment for this service. While commercial insurance typically pays somewhat more than Medicare, many hospitals charge significantly higher amounts — sometimes 10-50x the Medicare rate.

What to do if you were overcharged

  1. Upload your bill— we'll identify this code and compare it against the rates shown above.
  2. Get a dispute letter— citing the Medicare rate and your hospital's own published pricing data.
  3. Negotiate or let us handle it — 25% of savings, no savings = no fee.

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