California · 32670

Removal Of 2 Lobes Of Lung Using An Endoscope in California

California Medicare Avg
$878.54
8% below national avg
National Medicare Avg
$954.07
All states combined
Billed Charge (CA)
$5,326.66
What providers submit
Est. Commercial (CA)
$2,637.72
National avg: $2,683.02
Est. Cash / Self-Pay (CA)
$2,289.12
Typical self-pay discount

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

15
Services in CA
13
Providers
N/A
Min Payment
N/A
Max Payment

California Pricing in Context

In California, CPT code 32670 (Removal Of 2 Lobes Of Lung Using An Endoscope) carries an average Medicare payment of $878.54 — 8% below the national benchmark of $954.07. 13 providers across the state submitted claims for this procedure in 2023, performing 15 total services. Individual payments in CA ranged from N/A at the low end to N/A at the high end, reflecting differences in provider setting (office vs. facility), modifiers, and the specific geographic locality code applied within the state.

The average billed charge in California is $5,326.66, which is the figure uninsured patients would most likely encounter before any negotiation or charity discount. Medicare, by statute, only reimburses the allowed amount — the balance between billed and paid is written off under provider participation agreements. Insured patients generally pay a negotiated rate that falls between these two figures; the exact amount depends on plan design, deductible status, and in-network participation. Because California sits below the national Medicare average, commercial rates in the state may also run lower than the US median.

Using RAND 2024 commercial-to-Medicare ratios for Respiratory Surgery procedures, the estimated commercial insurance price in California lands near $2,637.72, with self-pay cash prices typically around $2,289.12. Before scheduling, patients can request a Good Faith Estimate under the No Surprises Act, compare cash rates from hospital Machine-Readable Files, and confirm whether the provider is in-network with their specific plan. This page presents CMS reference data for informational use; it does not constitute medical or financial advice.

Frequently Asked Questions

How much does Removal Of 2 Lobes Of Lung Using An Endoscope cost in California?

The average Medicare payment for Removal Of 2 Lobes Of Lung Using An Endoscope in California is $878.54, which is 8% below the national average of $954.07. Providers in CA typically bill $5,326.66 for this procedure.

What does Removal Of 2 Lobes Of Lung Using An Endoscope cost with insurance in California?

With commercial insurance in California, Removal Of 2 Lobes Of Lung Using An Endoscope costs an estimated $2,637.72. Without insurance, the estimated cash price is $2,289.12. These estimates are based on RAND 2024 commercial-to-Medicare ratios and vary by insurer, plan, and facility.

How many providers perform Removal Of 2 Lobes Of Lung Using An Endoscope in California?

13 providers in California billed Medicare for Removal Of 2 Lobes Of Lung Using An Endoscope in 2023, performing 15 total services. Medicare payments ranged from N/A to N/A depending on the provider.

Is Removal Of 2 Lobes Of Lung Using An Endoscope cheaper in California than the national average?

Yes — Removal Of 2 Lobes Of Lung Using An Endoscope costs 8% below the national average in California. The state average Medicare payment is $878.54 compared to $954.07 nationally. Factors like local cost of living, provider competition, and regional Medicare fee schedules all influence state-level pricing.

Related

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