# CPT 32650: Thoracoscopy, surgical, with pleurodesis

Medicare CPT 32650 pays $650.32 in a non-facility setting and $650.32 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $578.94 in Arkansas to $802.07 in Alaska, a 39% spread.

Web page: https://www.med-reveal.com/rates/32650-cpt-fee-schedule
Section: Surgery and Procedures

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $650.32 |
| National facility | $650.32 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $802.07 | $802.07 |
| Florida | $731.97 | $731.97 |
| New York | $722.30 | $722.30 |
| Illinois | $722.29 | $722.29 |
| District of Columbia | $716.78 | $716.78 |
| New Jersey | $702.26 | $702.26 |
| Connecticut | $691.66 | $691.66 |
| Massachusetts | $673.18 | $673.18 |
| Washington | $673.08 | $673.08 |
| Michigan | $672.22 | $672.22 |
| Maryland | $670.55 | $670.55 |
| California | $662.69 | $662.69 |
| West Virginia | $659.38 | $659.38 |
| Georgia | $657.89 | $657.89 |
| Pennsylvania | $655.04 | $655.04 |
| Rhode Island | $654.78 | $654.78 |
| Puerto Rico | $651.37 | $651.37 |
| Virgin Islands | $651.37 | $651.37 |
| Montana | $650.14 | $650.14 |
| New Mexico | $649.90 | $649.90 |
| Colorado | $649.40 | $649.40 |
| New Hampshire | $648.32 | $648.32 |
| Hawaii | $643.37 | $643.37 |
| Texas | $642.89 | $642.89 |
| Delaware | $640.90 | $640.90 |
| Oregon | $640.84 | $640.84 |
| Nevada | $636.25 | $636.25 |
| Louisiana | $635.88 | $635.88 |
| Ohio | $632.55 | $632.55 |
| Missouri | $631.51 | $631.51 |
| Arizona | $631.43 | $631.43 |
| Utah | $628.87 | $628.87 |
| Wyoming | $628.08 | $628.08 |
| Virginia | $621.57 | $621.57 |
| South Carolina | $621.37 | $621.37 |
| Kentucky | $619.50 | $619.50 |
| Maine | $608.94 | $608.94 |
| Oklahoma | $608.55 | $608.55 |
| Vermont | $605.95 | $605.95 |
| North Carolina | $605.24 | $605.24 |
| North Dakota | $599.52 | $599.52 |
| Mississippi | $598.52 | $598.52 |
| Minnesota | $596.27 | $596.27 |
| South Dakota | $593.54 | $593.54 |
| Tennessee | $591.43 | $591.43 |
| Indiana | $590.88 | $590.88 |
| Idaho | $588.29 | $588.29 |
| Kansas | $587.54 | $587.54 |
| Alabama | $586.69 | $586.69 |
| Wisconsin | $582.24 | $582.24 |
| Nebraska | $580.80 | $580.80 |
| Iowa | $580.73 | $580.73 |
| Arkansas | $578.94 | $578.94 |

## Related codes

- 30000: Drainage of abscess, nasal, internal approach — https://www.med-reveal.com/rates/30000-cpt-fee-schedule
- 30117: Excision or destruction of intranasal lesion, internal approach — https://www.med-reveal.com/rates/30117-cpt-fee-schedule
- 30130: Excision, inferior turbinate, partial or complete — https://www.med-reveal.com/rates/30130-cpt-fee-schedule
- 30140: Submucous resection, inferior turbinate, partial or complete — https://www.med-reveal.com/rates/30140-cpt-fee-schedule
- 30300: Removal of foreign body, intranasal, office-type instrument — https://www.med-reveal.com/rates/30300-cpt-fee-schedule
- 30400: Rhinoplasty, primary, simple — https://www.med-reveal.com/rates/30400-cpt-fee-schedule
- 30420: Rhinoplasty, primary, including major septal repair — https://www.med-reveal.com/rates/30420-cpt-fee-schedule
- 30520: Septoplasty/submucous resection — https://www.med-reveal.com/rates/30520-cpt-fee-schedule

Commercial negotiated rates for 32650 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules