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Procedure price report · Other diagnostic procedures on musculoskeletal system

Needle biopsy of bone near the surface

CPT 20220the billing code this page is about

A needle or hollow tool is passed through the skin to take a small sample from a bone close to the surface, such as a rib or the pelvic rim.

Hospitals typically charge $1,535 cash for this outpatient procedure — the median across 2,299 hospitals that filed a usable cash price; the average of the middle 60% is $1,530. Most fall between $591 and $2,710 (20th–80th percentile).

Hospitals
2,299
States
50
Filings dated
Mar 2023 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 24, 2026

Median: half of hospitals filed less, half more — and it is a price some hospital actually filed. Average of the middle 60%: the mean of the prices between the 20th and 80th percentiles. We never publish the plain average, the lowest or the highest price: the extremes in hospital price files are chargemaster artefacts, not prices anyone pays.

What hospitals charge, from cheapest to most expensive

Cash price percentiles, outpatient, across 2,299 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$338$765$1,535$2,395$3,882

The most expensive tenth of hospitals charges at least 11× what the cheapest tenth charges ($338 vs $3,882).

How the prices are spread

$203 – $279: 55 hospitals$203$279 – $384: 107 hospitals$384 – $528: 108 hospitals$384$528 – $726: 167 hospitals$726 – $998: 228 hospitals$726$998 – $1,372: 279 hospitals$1,372 – $1,887: 371 hospitals$1,372$1,887 – $2,595: 380 hospitals$2,595 – $3,568: 220 hospitals$2,595$3,568 – $4,907: 157 hospitals$3,568median $1,535price bands are equal on a log scale
Hospitals per price band (2,072 of 2,299 — the bands cover the 5th to 95th percentile)
FromToHospitals
$203$27955
$279$384107
$384$528108
$528$726167
$726$998228
$998$1,372279
$1,372$1,887371
$1,887$2,595380
$2,595$3,568220
$3,568$4,907157

Against Medicare

Medicare pays (OPPS 2026, national rate)$1,687
Median cash price$1,535
Cash as a multiple of Medicare0.91×

The Medicare figure is the national unadjusted OPPS rate for this code — what Medicare itself pays a hospital before local wage adjustment. It is a benchmark, not a price anyone is charged.

By state

The median cash price in each state, against the national median of $1,535.

Alaska: 8 hospitals filed a usable price — fewer than 10, so no figureAKMaine: median $997 across 16 hospitalsME$997Vermont: median $544 across 10 hospitalsVT$544New Hampshire: median $330 across 15 hospitalsNH$330Washington: median $1,127 across 54 hospitalsWA$1,127Idaho: median $1,749 across 15 hospitalsID$1,749Montana: median $384 across 18 hospitalsMT$384North Dakota: median $1,664 across 10 hospitalsND$1,664Minnesota: median $1,029 across 63 hospitalsMN$1,029Illinois: median $1,147 across 93 hospitalsIL$1,147Wisconsin: median $790 across 86 hospitalsWI$790Michigan: median $1,426 across 78 hospitalsMI$1,426New York: median $1,917 across 84 hospitalsNY$1,917Massachusetts: median $1,786 across 41 hospitalsMA$1,786Oregon: median $1,287 across 41 hospitalsOR$1,287Nevada: median $891 across 13 hospitalsNV$891Wyoming: 6 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: median $2,350 across 14 hospitalsSD$2,350Iowa: median $708 across 52 hospitalsIA$708Indiana: median $1,101 across 73 hospitalsIN$1,101Ohio: median $1,820 across 126 hospitalsOH$1,820Pennsylvania: median $2,074 across 106 hospitalsPA$2,074New Jersey: median $2,156 across 56 hospitalsNJ$2,156Connecticut: median $2,049 across 18 hospitalsCT$2,049Rhode Island: 9 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $2,277 across 166 hospitalsCA$2,277Utah: median $1,305 across 29 hospitalsUT$1,305Colorado: median $1,497 across 45 hospitalsCO$1,497Nebraska: median $1,100 across 28 hospitalsNE$1,100Missouri: median $1,427 across 57 hospitalsMO$1,427Kentucky: median $1,368 across 29 hospitalsKY$1,368West Virginia: median $1,193 across 27 hospitalsWV$1,193Virginia: median $1,584 across 46 hospitalsVA$1,584Maryland: 5 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 7 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $863 across 37 hospitalsAZ$863New Mexico: median $830 across 11 hospitalsNM$830Kansas: median $723 across 46 hospitalsKS$723Arkansas: median $923 across 19 hospitalsAR$923Tennessee: median $464 across 45 hospitalsTN$464North Carolina: median $1,050 across 61 hospitalsNC$1,050South Carolina: median $2,052 across 39 hospitalsSC$2,052Oklahoma: median $837 across 38 hospitalsOK$837Louisiana: median $732 across 40 hospitalsLA$732Mississippi: median $654 across 37 hospitalsMS$654Alabama: median $1,729 across 33 hospitalsAL$1,729Georgia: median $1,749 across 76 hospitalsGA$1,749Hawaii: median $1,406 across 14 hospitalsHI$1,406Texas: median $1,859 across 164 hospitalsTX$1,859Florida: median $2,372 across 95 hospitalsFL$2,372
Cash price by state, most expensive first. National median $1,535. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Florida FL95$2,372+55%$991 – $4,314
South Dakota SD14$2,350+53%$746 – $3,280
California CA166$2,277+48%$1,022 – $4,698
New Jersey NJ56$2,156+41%$1,793 – $4,766
Pennsylvania PA106$2,074+35%$1,460 – $2,916
South Carolina SC39$2,052+34%$1,445 – $2,410
Connecticut CT18$2,049+34%$893 – $4,061
New York NY84$1,917+25%$533 – $3,382
Texas TX164$1,859+21%$1,329 – $2,505
Ohio OH126$1,820+19%$1,274 – $3,160
Massachusetts MA41$1,786+16%$991 – $2,500
Georgia GA76$1,749+14%$1,138 – $3,127
Idaho ID15$1,749+14%$1,163 – $3,570
Alabama AL33$1,729+13%$830 – $5,110
North Dakota ND10$1,664+8%$148 – $2,284
Virginia VA46$1,584+3%$843 – $2,773
Colorado CO45$1,497−2%$1,105 – $3,138
Missouri MO57$1,427−7%$844 – $2,784
Michigan MI78$1,426−7%$899 – $2,271
Hawaii HI14$1,406−8%$255 – $2,410
Kentucky KY29$1,368−11%$261 – $3,758
Utah UT29$1,305−15%$1,110 – $1,305
Oregon OR41$1,287−16%$315 – $3,161
West Virginia WV27$1,193−22%$90 – $2,496
Illinois IL93$1,147−25%$405 – $1,995
Washington WA54$1,127−27%$302 – $2,411
Indiana IN73$1,101−28%$463 – $1,738
Nebraska NE28$1,100−28%$542 – $2,058
North Carolina NC61$1,050−32%$533 – $1,317
Minnesota MN63$1,029−33%$391 – $1,733
Maine ME16$997−35%$279 – $2,215
Arkansas AR19$923−40%$564 – $2,022
Nevada NV13$891−42%$700 – $1,893
Arizona AZ37$863−44%$483 – $3,166
Oklahoma OK38$837−45%$543 – $2,134
New Mexico NM11$830−46%$378 – $2,122
Wisconsin WI86$790−49%$438 – $1,283
Louisiana LA40$732−52%$421 – $1,459
Kansas KS46$723−53%$258 – $1,555
Iowa IA52$708−54%$375 – $1,595
Mississippi MS37$654−57%$426 – $1,135
Vermont VT10$544−65%$320 – $1,890
Tennessee TN45$464−70%$338 – $1,282
Montana MT18$384−75%$259 – $1,106
New Hampshire NH15$330−78%$80 – $846
Rhode Island RI9not enough hospitals filed a usable price
Alaska AK8not enough hospitals filed a usable price
Delaware DE7not enough hospitals filed a usable price
Wyoming WY6not enough hospitals filed a usable price
Maryland MD5not enough hospitals filed a usable price

Hospitals like yours

The same distribution cut by the kind of hospital. Hospital type and ownership come from CMS; a hospital counts as part of a system when its price file is shared with at least one other hospital under the same brand. The national median is $1,535.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,866$1,648$781 – $2,784
Children’s47$1,869$824 – $3,193
Critical access377$698$299 – $2,042
Ownership
For-profit242$1,859$801 – $4,013
Government350$1,066$375 – $2,228
Non-profit1,698$1,537$648 – $2,623
System affiliation
Part of a system1,906$1,555$671 – $2,752
Independent393$1,327$346 – $2,554

Cash price vs list price

Median list price (chargemaster)$2,545
Median cash price$1,535
Cash as a share of list, median hospital60%

At the typical hospital, asking for the cash price cuts the list price by about 40%. The share is the median of each hospital’s own cash ÷ list ratio, over hospitals that filed both — not the ratio of the two medians above.

The same procedure, inpatient

1,710 hospitals filed a usable inpatient cash price for this code. The median is $1,537 and the average of the middle 60% is $1,582; most fall between $685 and $2,778.

Cash price percentiles, inpatient, across 1,710 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$383$830$1,537$2,441$4,037

The most expensive tenth of hospitals charges at least 11× what the cheapest tenth charges ($383 vs $4,037).

Of the 1,836 hospitals that filed this code inpatient, 1,710 gave a usable cash price; 41 carried a plausibility flag, 1 filed a number their own filing marks as not a price, 0 gave an estimate, and 84 a list price only.

How complete is this

2,299 of the 3,956 hospitals with a price file in our corpus (58%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 2,487 hospitals that filed this code at all gave us
Usable cash price — counted2,299
Cash price carrying a plausibility flag — shown on the compare tool, excluded here84
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded7
A list price only, no cash figure — excluded96
Hospitals that filed this code2,487

Sections not shown for this setting

  • Since our last snapshot: there is no earlier snapshot at least 90 days older than this one yet.

We last checked these hospitals’ price files for changes between September 4, 2026 and September 24, 2026; the figures were computed September 25, 2026 from filings loaded through September 24, 2026. The percentiles and averages use only the “counted” row.

Related procedures

Part of the Other diagnostic procedures on musculoskeletal system family.

Hospitals file this code under descriptions such as PR Bone Biopsy,Trocar/Needle Superf.

Method

Source
The machine-readable price files every U.S. hospital is required by CMS to publish, parsed per hospital. Nothing is surveyed, sampled or modelled.
What counts
One cash (self-pay) price per hospital for this code and setting. A hospital’s own filing can rule its number out — a placeholder, a “not applicable” note, a list price standing in for cash — and our plausibility checks can flag a price far below what every other hospital files. Both kinds are disclosed above and excluded from the statistics; on the compare tool a flagged price is still shown.
Statistics
Percentiles are discrete: each is a price some hospital filed. The average is the mean of the prices between the 20th and 80th percentiles. We never publish the plain mean, the minimum or the maximum. A state needs 10 hospitals and a segment 20 to show a figure; otherwise the row shows its count and no number. Medicare is the national unadjusted OPPS rate where one exists.
Names
Procedure names on these pages are our own plain-language titles, not the AMA’s copyrighted CPT descriptors. The code is the identity.

The full rules — sources, statistics, thresholds, limitations — are on the methodology page.

Download this page’s figures: JSON · CSV. Aggregates only — the per-hospital prices are on the compare tool.

Cite: HospitalRates.com, “Needle biopsy of bone near the surface (CPT 20220) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-20220-needle-biopsy-of-bone-near-the-surface