Respiratory Surgery · 32555

Aspiration Of Fluid From Chest Cavity Using Imaging Guidance

What Medicare pays for 32555, what providers bill, and how the price varies across 53 states, drawn from CMS 2023 claims data.

$87.56
Medicare pays
$889.90
Providers bill
10.2×
Markup
#844 of 9,297
Volume rank

The verdict

Aspiration Of Fluid From Chest Cavity Using Imaging Guidance pairs top-10% national service volume with one of the steepest markups in the catalog.

Top 9%
national service volume
Top 9%
billed-to-Medicare markup
10.2×
billed vs. Medicare
$87.56
Medicare pays, national avg

Volume percentile ranks this code's national service volume against every tracked procedure; markup percentile ranks its billed-to-Medicare ratio the same way. The same two figures drive both the verdict sentence and the chips above.

According to the Centers for Medicare & Medicaid Services (CMS), the 2023 Medicare Physician & Other Practitioners dataset records payments for 9,297 procedure codes billed across 5,426 hospitals in 56 states and territories; see our methodology for how each figure is sourced and computed.

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Payment tier in Respiratory Surgery
Lower-paying in category
#262 of 290 procedures in Respiratory Surgery by national average Medicare payment.
Markup tier vs. tracked procedures
High markup
10.2x the Medicare rate — ranks #481 of 4,435 tracked procedures by billed-vs-Medicare markup (rank #1 = steepest).
209.7K
Total Services
123.7K
Beneficiaries
19.9K
Providers
53
States with Data

Price Range Across States

Lowest State Avg
$74.07
Idaho
Highest State Avg
$101.41
Alaska

What You Might Pay

Est. Commercial Insurance
$282.19
Range: $197.53 – $395.06
Est. Cash / Self-Pay
$328.05
Typical self-pay discount

Estimated using RAND 2024 commercial-to-Medicare ratios. Actual prices vary by insurer, plan, and facility.

How we estimate these prices

These estimates are based on the RAND Hospital Price Transparency Study (4th Edition, 2024). We map each PlainProcedure category onto a RAND CPT-section bucket (Surgery, Radiology, Pathology and Laboratory, Medicine, Anesthesia, Evaluation and Management) or fall back to the national average when no bucket matches. For Respiratory Surgery, the applied ratio is 2.54x Medicare (RAND 2024 Surgery bucket (2.54x) + CMS Medicare baseline). Cash/self-pay estimates blend typical cash discounts (55% of billed charges) with Medicare-based estimates (150% of allowed amounts). These are statistical estimates, not quotes. Contact your insurer or provider for actual costs.

Where this markup sits nationally

Markup (billed ÷ Medicare) across 8,901 procedures with a meaningful Medicare rate

10 Among the most affordable more affordable than 91% of 8,901 procedures

1–2: 466 procedures (5%). Below this entry. 2–3: 681 procedures (8%). Below this entry. 3–4: 845 procedures (9%). Below this entry. 4–5: 1,308 procedures (15%). Below this entry. 5–6: 1,725 procedures (19%). Below this entry. 6–7: 1,217 procedures (14%). Below this entry. 7–8: 801 procedures (9%). Below this entry. 8–9: 541 procedures (6%). Below this entry. 9–10: 351 procedures (4%). Below this entry. 10–11: 246 procedures (3%). This entry sits in this band. 11–12: 151 procedures (2%). Above this entry. 12–13: 175 procedures (2%). Above this entry. 13–14: 140 procedures (2%). Above this entry. 14–15: 40 procedures (0%). Above this entry. 15–16: 39 procedures (0%). Above this entry. 16–17: 26 procedures (0%). Above this entry. 17–18: 25 procedures (0%). Above this entry. 18–19: 21 procedures (0%). Above this entry. 19–20: 12 procedures (0%). Above this entry. 20–21: 16 procedures (0%). Above this entry. 21–22: 13 procedures (0%). Above this entry. 22–23: 8 procedures (0%). Above this entry. 23–24: 9 procedures (0%). Above this entry. 24–25: 4 procedures (0%). Above this entry. 25–26: 3 procedures (0%). Above this entry. 26–27: 3 procedures (0%). Above this entry. 27–28: 4 procedures (0%). Above this entry. 28–29: 3 procedures (0%). Above this entry. 29–30: 2 procedures (0%). Above this entry. 30–31: 26 procedures (0%). Above this entry. this procedure 1 31 × markup, bucketed by value

Each bar is a 1-wide band; taller bars hold more procedures. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Medicare Physician & Other Practitioners · 2023

Prices by State

State Medicare Payment Billed Charge
Alaska $101.41 $1,066.35
Arkansas $100.79 $678.82
Maryland $99.02 $655.24
Washington $95.47 $633.73
Massachusetts $95.17 $763.37
California $95.15 $979.10
New Mexico $94.81 $931.55
District of Columbia $94.60 $653.14
Iowa $93.54 $870.90
Connecticut $93.46 $986.94
New York $93.16 $1,186.81
Hawaii $92.68 $585.14
Oregon $92.33 $678.30
Puerto Rico $92.24 $416.25
Nebraska $91.87 $809.48
Kansas $90.14 $601.28
Illinois $89.94 $1,062.16
Nevada $89.85 $1,169.59
New Jersey $89.73 $827.45
Florida $88.64 $912.68
Tennessee $88.61 $985.40
Virginia $87.94 $628.05
Texas $87.25 $1,161.41
Arizona $85.24 $1,345.78
Wyoming $85.00 $1,046.70
Colorado $84.74 $601.27
Guam $84.65 $501.32
Utah $84.59 $468.44
Pennsylvania $84.04 $637.06
Rhode Island $83.75 $767.49
Minnesota $83.20 $842.03
New Hampshire $83.13 $805.18
Missouri $83.04 $740.89
Michigan $82.71 $491.20
Montana $82.52 $499.12
Georgia $81.83 $859.18
Vermont $81.71 $1,302.06
Indiana $81.05 $825.11
Ohio $80.81 $849.44
North Carolina $80.70 $923.91
Maine $80.63 $562.54
Alabama $80.49 $699.25
Delaware $80.30 $403.51
South Carolina $80.21 $721.44
North Dakota $80.07 $1,352.40
West Virginia $79.98 $494.84
Louisiana $79.73 $1,143.72
Mississippi $79.36 $1,789.85
South Dakota $78.62 $728.40
Wisconsin $78.40 $1,510.76
Oklahoma $77.73 $643.02
Kentucky $76.87 $589.08
Idaho $74.07 $771.49

What the Data Says About Aspiration Of Fluid From Chest Cavity Using Imaging Guidance

Across 53 states with reporting providers, CPT code 32555 (Aspiration Of Fluid From Chest Cavity Using Imaging Guidance) shows a national average Medicare payment of $87.56 against an average billed charge of $889.90. That gap, a 10.2x markup, or 916% above the Medicare allowed amount, sits among the widest billed-to-paid spreads we track, the kind of chargemaster pricing almost no payer, insured or cash, actually honors in full.

Respiratory Surgery procedures like this one saw 209.7K services billed to Medicare in 2023 by 19.9K distinct providers, serving 123.7K unique beneficiaries. State-level variation is significant: Idaho reports the lowest average payment at $74.07, while Alaska reports the highest at $101.41. The 37% spread here is a moderate, fairly ordinary GPCI effect, local cost-of-practice adjustments nudging the allowed amount up or down without reshaping it. Applying the RAND 2024 commercial-to-Medicare ratio for this category (2.54x Medicare; RAND 2024 Surgery bucket (2.54x) + CMS Medicare baseline), the estimated commercial insurance price lands near $282.19, with self-pay cash discounts commonly bringing the figure closer to $328.05. Within Respiratory Surgery, Aspiration Of Fluid From Chest Cavity Using Imaging Guidance ranks #262 of 290 tracked procedures by national average Medicare payment.

Where this sits in the registry

Aspiration Of Fluid From Chest Cavity Using Imaging Guidance (32555) is a CMS 2023 Part B code. These pages keep the volume map and the markup map separate.

  • National volume versus markup on the statistics page, the same two maps as this capsule. Statistics
  • Other Respiratory Surgery codes, ranked by Medicare payment inside the category. Category
  • How volume rank and markup rank are computed. Methodology
  • The full procedures listing in volume order. Procedures

Figures here are CMS averages, not a quote for any patient, plan, or visit.

Frequently Asked Questions

Where does Aspiration Of Fluid From Chest Cavity Using Imaging Guidance rank among Medicare procedures?

According to CMS Medicare Part B claims, Aspiration Of Fluid From Chest Cavity Using Imaging Guidance (CPT 32555) ranks #844 of 9,297 procedures by national service volume, the same sort as the procedures listing, and #262 of 290 within Respiratory Surgery by national average Medicare payment. See /methodology#corpus-placement.

How much does Aspiration Of Fluid From Chest Cavity Using Imaging Guidance cost?

Medicare's national average payment for Aspiration Of Fluid From Chest Cavity Using Imaging Guidance (CPT 32555) is $87.56, with providers billing $889.90 on average; state rates run from $74.07 to $101.41, a meaningful but not extreme spread.

Why do providers charge more than Medicare pays?

Providers set their own chargemaster rates (billed charges), which are typically much higher than what any insurer pays. Medicare pays a fixed rate based on the procedure code and geographic location. The billed charge is relevant mainly for uninsured patients, who may face prices closer to the submitted charge.

How much does Aspiration Of Fluid From Chest Cavity Using Imaging Guidance cost with insurance?

Commercial insurers pay well above Medicare for aspiration of fluid from chest cavity using imaging guidance, an estimated $282.19 on average (range: $197.53-$395.06), versus $87.56 from Medicare. Without insurance, the estimated cash price is $328.05.

Which state has the lowest cost for Aspiration Of Fluid From Chest Cavity Using Imaging Guidance?

Idaho has the lowest average Medicare payment for Aspiration Of Fluid From Chest Cavity Using Imaging Guidance at $74.07, while Alaska has the highest at $101.41 - a meaningful $27.34 spread.

How many providers perform Aspiration Of Fluid From Chest Cavity Using Imaging Guidance?

Aspiration Of Fluid From Chest Cavity Using Imaging Guidance is a widely-performed procedure: 19.9K providers billed Medicare for it in 2023 across 53 states, together handling 209.7K services for 123.7K beneficiaries.

What is the billed-to-Medicare markup for Aspiration Of Fluid From Chest Cavity Using Imaging Guidance?

Providers bill 10.2x what Medicare pays for Aspiration Of Fluid From Chest Cavity Using Imaging Guidance - one of the steepest markups in the catalog at 916% above the Medicare rate.

Nationwide similar CPT codes

Data-derived peers across the CMS Physician & Other Practitioners extract: nearest national service volume and nearest average Medicare payment. Not clinical substitutes: claim-mass and payment neighborhoods only.

Data sourced from the CMS Medicare Physician and Other Practitioners dataset. See our methodology for details. Retrieved and formatted by PlainProcedure

Every figure on PlainProcedure is rendered directly from CMS Medicare Physician & Other Practitioners data, no number is typed in by an editor. This page draws directly on CMS Medicare Physician & Other Practitioners data, no figure is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, the data changelog, or report a data error.