Price AtlasInteractive atlas · All states · techysurgeon.comAbdominal fluid drainage (paracentesis): what insurers pay
Draining fluid from the abdomen with a needle under imaging guidance. Commercial negotiated rates by hospital and market, next to Medicare for the same code.
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CPT 49083: Abdominal Fluid Drainage (Paracentesis)
1617 hospitals in 82 markets. National Medicare rate $927, surgery center $498.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Alabama (statewide) | 24 | $830 | $1,044 | $1,342 | $441–$3,146 |
| Alaska (statewide) | 4 | — | — | — | $1,532–$4,285 |
| Arizona (statewide) | 28 | $2,092 | $2,604 | $3,508 | $603–$5,282 |
| Arkansas (statewide) | 17 | $852 | $1,125 | $1,310 | $449–$1,759 |
| Atlanta GA | 10 | $3,453 | $3,656 | $3,656 | $3,453–$3,742 |
| Austin TX | 13 | $909 | $1,838 | $3,230 | $862–$3,230 |
| Boston MA | 16 | $857 | $1,447 | $1,712 | $815–$2,024 |
| California (statewide) | 85 | $1,300 | $2,766 | $3,547 | $996–$7,455 |
| Charlotte NC | 6 | $1,115 | $1,115 | $1,115 | $1,099–$4,354 |
| Chicago IL | 10 | $2,120 | $2,704 | $3,622 | $1,520–$4,955 |
| Cleveland OH | 11 | $2,116 | $2,351 | $2,588 | $1,716–$2,897 |
| Colorado (statewide) | 23 | $1,135 | $1,934 | $2,511 | $500–$4,600 |
| Columbus OH | 2 | — | — | — | $3,262–$3,262 |
| Connecticut (statewide) | 3 | — | — | — | $1,766–$3,779 |
| Dallas-Fort Worth TX | 14 | $2,224 | $2,383 | $2,772 | $1,362–$4,164 |
| Delaware (statewide) | 1 | — | — | — | $1,928–$1,928 |
| Denver CO | 15 | $1,776 | $3,591 | $4,268 | $1,296–$4,600 |
| Detroit MI | 17 | $586 | $829 | $1,070 | $586–$2,516 |
| Florida (statewide) | 73 | $1,748 | $2,350 | $2,707 | $524–$7,541 |
| Georgia (statewide) | 51 | $1,688 | $2,868 | $3,557 | $450–$4,768 |
| Hawaii (statewide) | 9 | $1,379 | $1,470 | $2,387 | $1,286–$2,833 |
| Houston TX | 19 | $1,834 | $2,465 | $2,528 | $1,731–$3,644 |
| Idaho (statewide) | 19 | $1,111 | $1,640 | $2,284 | $570–$2,747 |
| Illinois (statewide) | 47 | $1,356 | $1,866 | $2,572 | $663–$3,946 |
| Indiana (statewide) | 52 | $1,412 | $1,831 | $3,164 | $544–$5,496 |
| Indianapolis IN | 6 | $3,006 | $3,635 | $3,738 | $775–$4,070 |
| Iowa (statewide) | 43 | $927 | $1,348 | $1,671 | $446–$2,752 |
| Kansas (statewide) | 44 | $936 | $1,170 | $1,462 | $433–$3,736 |
| Kentucky (statewide) | 24 | $810 | $1,239 | $1,605 | $500–$2,533 |
| Las Vegas NV | 2 | — | — | — | $2,072–$2,516 |
| Los Angeles CA | 17 | $2,470 | $2,654 | $3,414 | $1,715–$6,066 |
| Louisiana (statewide) | 22 | $1,110 | $1,228 | $1,463 | $786–$3,728 |
| Maine (statewide) | 18 | $3,417 | $4,218 | $4,460 | $895–$5,608 |
| Maryland (statewide) | 1 | — | — | — | $3,763–$3,763 |
| Massachusetts (statewide) | 11 | $1,109 | $1,364 | $1,454 | $828–$2,218 |
| Miami-Fort Lauderdale FL | 8 | $803 | $1,356 | $1,612 | $803–$3,117 |
| Michigan (statewide) | 35 | $836 | $1,023 | $1,188 | $507–$3,182 |
| Minneapolis-St. Paul MN | 15 | $1,897 | $2,347 | $2,400 | $1,491–$3,205 |
| Minnesota (statewide) | 23 | $1,056 | $2,347 | $2,655 | $570–$3,732 |
| Mississippi (statewide) | 25 | $1,004 | $1,228 | $1,503 | $837–$3,110 |
| Missouri (statewide) | 32 | $1,230 | $2,180 | $3,344 | $546–$6,897 |
| Montana (statewide) | 9 | $1,173 | $1,969 | $2,595 | $614–$4,764 |
| Nashville TN | 8 | $1,539 | $2,092 | $2,422 | $1,257–$2,474 |
| Nebraska (statewide) | 22 | $1,036 | $1,707 | $2,248 | $559–$3,773 |
| Nevada (statewide) | 8 | $1,889 | $2,312 | $2,402 | $1,331–$4,186 |
| New Hampshire (statewide) | 6 | $2,488 | $3,430 | $3,728 | $1,983–$4,062 |
| New Jersey (statewide) | 30 | $1,409 | $2,248 | $3,051 | $1,024–$7,773 |
| New Mexico (statewide) | 11 | $1,352 | $1,787 | $2,646 | $638–$3,847 |
| New York (statewide) | 42 | $1,582 | $1,798 | $2,539 | $656–$4,764 |
| New York City | 8 | $1,538 | $1,582 | $2,222 | $1,132–$6,214 |
| North Carolina (statewide) | 15 | $1,158 | $1,905 | $2,374 | $828–$4,069 |
| North Dakota (statewide) | 8 | $1,310 | $1,562 | $2,149 | $1,050–$3,301 |
| Ohio (statewide) | 46 | $1,881 | $2,486 | $3,148 | $642–$4,830 |
| Oklahoma (statewide) | 23 | $1,266 | $1,808 | $2,144 | $878–$3,317 |
| Oregon (statewide) | 18 | $1,183 | $2,112 | $2,790 | $529–$4,186 |
| Pennsylvania (statewide) | 56 | $1,762 | $2,388 | $3,008 | $902–$4,482 |
| Philadelphia PA | 11 | $3,035 | $3,453 | $3,660 | $1,554–$6,648 |
| Phoenix AZ | 11 | $2,550 | $2,678 | $2,703 | $2,438–$3,907 |
| Pittsburgh PA | 12 | $1,602 | $1,978 | $2,185 | $1,353–$3,107 |
| Portland OR | 9 | $3,763 | $3,899 | $3,899 | $3,763–$4,114 |
| Research Triangle NC | 3 | — | — | — | $1,640–$3,142 |
| Rhode Island (statewide) | 6 | $1,240 | $1,884 | $2,588 | $1,159–$2,949 |
| Richmond VA | 3 | — | — | — | $3,477–$3,491 |
| Rio Grande Valley TX | 6 | $1,190 | $1,694 | $2,528 | $1,179–$2,650 |
| Salt Lake City UT | 9 | $1,070 | $1,080 | $1,080 | $825–$1,096 |
| San Antonio TX | 3 | — | — | — | $1,466–$2,456 |
| San Diego CA | 7 | $1,983 | $1,983 | $1,996 | $1,668–$2,151 |
| San Francisco Bay Area CA | 5 | $1,601 | $3,227 | $5,022 | $1,601–$5,384 |
| Seattle-Tacoma WA | 16 | $2,569 | $2,742 | $3,035 | $2,535–$3,303 |
| South Carolina (statewide) | 30 | $1,094 | $1,894 | $2,700 | $479–$5,102 |
| South Dakota (statewide) | 3 | — | — | — | $1,127–$1,636 |
| St. Louis MO | 10 | $1,241 | $5,490 | $5,685 | $1,140–$5,685 |
| Tampa FL | 6 | $3,294 | $3,294 | $3,294 | $1,800–$4,360 |
| Tennessee (statewide) | 39 | $1,239 | $1,422 | $1,652 | $929–$2,500 |
| Texas (statewide) | 89 | $1,269 | $2,182 | $2,474 | $470–$5,496 |
| Utah (statewide) | 10 | $839 | $946 | $2,629 | $560–$3,349 |
| Vermont (statewide) | 3 | — | — | — | $864–$1,223 |
| Virginia (statewide) | 27 | $2,760 | $3,408 | $4,036 | $1,223–$4,675 |
| Washington (statewide) | 19 | $1,047 | $2,382 | $2,657 | $798–$4,598 |
| Washington DC | 11 | $2,348 | $2,505 | $2,528 | $1,678–$2,747 |
| West Virginia (statewide) | 14 | $1,273 | $1,522 | $2,957 | $745–$6,038 |
| Wisconsin (statewide) | 50 | $2,182 | $2,232 | $3,693 | $781–$5,220 |
Lowest and highest 12 hospital medians
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Nemaha Valley Community Hospital | Kansas (statewide) | $433 | 0.5× | 1 | 2026-09-16 |
| St Vincent'S St Clair | Alabama (statewide) | $441 | 0.5× | 2 | 2026-04-20 |
| Decatur County Hospital | Iowa (statewide) | $446 | 0.5× | 1 | 2026-03-04 |
| Izard Regional Hospital Llc | Arkansas (statewide) | $449 | 0.5× | 1 | 2026-03-30 |
| Memorial Hospital And Manor | Georgia (statewide) | $450 | 0.6× | 1 | 2026-05-01 |
| Comanche County Medical Center | Texas (statewide) | $470 | 0.5× | 1 | 2026-07-14 |
| Southeast Health Medical Center | Alabama (statewide) | $475 | 0.6× | 3 | 2026-03-10 |
| Usa Health Children'S & Women'S Hospital | Alabama (statewide) | $477 | 0.6× | 1 | 2026-04-30 |
| Mcleod Health Cheraw | South Carolina (statewide) | $479 | 0.6× | 1 | 2026-07-20 |
| Rangely District Hospital | Colorado (statewide) | $500 | 0.5× | 1 | 2026-09-24 |
| Chi Saint Joseph Berea Nf | Kentucky (statewide) | $500 | 0.6× | 4 | 2026-02-28 |
| Oaklawn Hospital | Michigan (statewide) | $507 | 0.6× | 2 | 2026-03-27 |
| NYU Langone Hospitals (Orthopedic Hospital + Tisch files) | New York City | $6,214 | 5.5× | 8 | 2026-01-01 |
| Watsonville Community Hospital | California (statewide) | $6,374 | 5.1× | 14 | 2026-09-15 |
| Capital Health Medical Center - Hopewell | New Jersey (statewide) | $6,380 | 6.3× | 2 | 2026-06-24 |
| Capital Health Regional Medical Center | New Jersey (statewide) | $6,380 | 6.3× | 2 | 2026-06-24 |
| Rady Children'S Hospital - San Diego | California (statewide) | $6,394 | 5.5× | 4 | 2026-04-01 |
| Jefferson Stratford Hospital | Philadelphia PA | $6,648 | 6.5× | 3 | 2026-09-15 |
| Providence St Joseph Hospital | California (statewide) | $6,727 | 5.8× | 4 | 2026-04-01 |
| Boone Hospital Center | Missouri (statewide) | $6,897 | 7.6× | 1 | 2026-04-01 |
| Los Robles Hospital & Medical Center | California (statewide) | $7,139 | 6.1× | 4 | 2026-09-01 |
| Providence Queen Of The Valley Medical Center | California (statewide) | $7,455 | 6.4× | 5 | 2026-04-01 |
| Holy Cross Hospital | Florida (statewide) | $7,541 | 8.0× | 23 | 2026-03-31 |
| Hackensack University Medical Center | New Jersey (statewide) | $7,773 | 7.2× | 3 | 2025-12-31 |
Every hospital is on its state's page (linked in the market table) and in the interactive explorer.
Questions
How much do commercial insurers pay hospitals for abdominal fluid drainage (paracentesis)?
Across 1617 hospitals in 82 markets (metro areas and statewide) that post a usable dollar rate, the median commercial rate for CPT 49083, hospital outpatient is $1,998, 2.1× the same hospital's local Medicare base rate. The middle half of hospitals runs $1,244 to $2,801. Figures are each hospital's median across insurers, from its federal price-transparency file.
What does Medicare pay for abdominal fluid drainage (paracentesis)?
Medicare's national hospital outpatient rate for CPT 49083 is $927 and its surgery-center rate is $498, before local wage adjustment.
Which hospitals post the lowest and highest commercial rates for abdominal fluid drainage (paracentesis)?
Lowest medians: Nemaha Valley Community Hospital ($433), St Vincent'S St Clair ($441), Decatur County Hospital ($446). Highest: Hackensack University Medical Center ($7,773), Holy Cross Hospital ($7,541), Providence Queen Of The Valley Medical Center ($7,455). Coverage: every hospital whose price file we could read.