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Procedure price report · Other diagnostic procedures on musculoskeletal system

Needle biopsy of deep bone

CPT 20225the billing code this page is about

A needle or hollow tool is passed through the skin to take a sample from a deeply located bone, such as a vertebra or the hip socket area.

Hospitals typically charge $1,936 cash for this outpatient procedure — the median across 2,193 hospitals that filed a usable cash price; the average of the middle 60% is $2,043. Most fall between $1,035 and $3,517 (20th–80th percentile).

Hospitals
2,193
States
50
Filings dated
Dec 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 2,193 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
$593$1,163$1,936$3,130$4,844

The most expensive tenth of hospitals charges at least 8.2× what the cheapest tenth charges ($593 vs $4,844).

How the prices are spread

$379 – $502: 66 hospitals$379$502 – $665: 84 hospitals$665 – $882: 88 hospitals$665$882 – $1,168: 203 hospitals$1,168 – $1,548: 266 hospitals$1,168$1,548 – $2,051: 352 hospitals$2,051 – $2,718: 330 hospitals$2,051$2,718 – $3,602: 269 hospitals$3,602 – $4,774: 169 hospitals$3,602$4,774 – $6,326: 157 hospitals$4,774median $1,936price bands are equal on a log scale
Hospitals per price band (1,984 of 2,193 — the bands cover the 5th to 95th percentile)
FromToHospitals
$379$50266
$502$66584
$665$88288
$882$1,168203
$1,168$1,548266
$1,548$2,051352
$2,051$2,718330
$2,718$3,602269
$3,602$4,774169
$4,774$6,326157

Against Medicare

Medicare pays (OPPS 2026, national rate)$1,687
Median cash price$1,936
Cash as a multiple of Medicare1.15×

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 $1,936.

Alaska: 7 hospitals filed a usable price — fewer than 10, so no figureAKMaine: median $1,629 across 11 hospitalsME$1,629Vermont: 6 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: median $694 across 12 hospitalsNH$694Washington: median $1,280 across 56 hospitalsWA$1,280Idaho: median $2,342 across 15 hospitalsID$2,342Montana: median $632 across 19 hospitalsMT$632North Dakota: 9 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $1,735 across 61 hospitalsMN$1,735Illinois: median $1,604 across 89 hospitalsIL$1,604Wisconsin: median $1,500 across 82 hospitalsWI$1,500Michigan: median $1,718 across 69 hospitalsMI$1,718New York: median $1,922 across 74 hospitalsNY$1,922Massachusetts: median $2,218 across 38 hospitalsMA$2,218Oregon: median $1,771 across 40 hospitalsOR$1,771Nevada: median $1,316 across 13 hospitalsNV$1,316Wyoming: 7 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: median $2,405 across 12 hospitalsSD$2,405Iowa: median $1,253 across 44 hospitalsIA$1,253Indiana: median $1,502 across 68 hospitalsIN$1,502Ohio: median $2,734 across 124 hospitalsOH$2,734Pennsylvania: median $2,459 across 103 hospitalsPA$2,459New Jersey: median $2,162 across 56 hospitalsNJ$2,162Connecticut: median $2,312 across 17 hospitalsCT$2,312Rhode Island: 7 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $3,323 across 166 hospitalsCA$3,323Utah: median $1,336 across 26 hospitalsUT$1,336Colorado: median $1,888 across 44 hospitalsCO$1,888Nebraska: median $1,268 across 26 hospitalsNE$1,268Missouri: median $1,793 across 49 hospitalsMO$1,793Kentucky: median $2,928 across 28 hospitalsKY$2,928West Virginia: median $1,729 across 16 hospitalsWV$1,729Virginia: median $1,815 across 45 hospitalsVA$1,815Maryland: 6 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 7 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $988 across 36 hospitalsAZ$988New Mexico: median $1,773 across 12 hospitalsNM$1,773Kansas: median $995 across 43 hospitalsKS$995Arkansas: median $1,069 across 18 hospitalsAR$1,069Tennessee: median $593 across 51 hospitalsTN$593North Carolina: median $1,482 across 63 hospitalsNC$1,482South Carolina: median $2,742 across 36 hospitalsSC$2,742Oklahoma: median $1,568 across 41 hospitalsOK$1,568Louisiana: median $1,103 across 36 hospitalsLA$1,103Mississippi: median $1,101 across 36 hospitalsMS$1,101Alabama: median $2,192 across 31 hospitalsAL$2,192Georgia: median $2,396 across 72 hospitalsGA$2,396Hawaii: median $1,886 across 14 hospitalsHI$1,886Texas: median $2,265 across 156 hospitalsTX$2,265Florida: median $2,648 across 96 hospitalsFL$2,648
Cash price by state, most expensive first. National median $1,936. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
California CA166$3,323+72%$1,504 – $5,381
Kentucky KY28$2,928+51%$564 – $13,204
South Carolina SC36$2,742+42%$2,255 – $4,668
Ohio OH124$2,734+41%$1,811 – $4,793
Florida FL96$2,648+37%$1,113 – $4,913
Pennsylvania PA103$2,459+27%$1,624 – $3,203
South Dakota SD12$2,405+24%$873 – $3,083
Georgia GA72$2,396+24%$1,847 – $4,099
Idaho ID15$2,342+21%$1,336 – $3,570
Connecticut CT17$2,312+19%$1,601 – $4,061
Texas TX156$2,265+17%$1,307 – $3,517
Massachusetts MA38$2,218+15%$1,323 – $4,198
Alabama AL31$2,192+13%$1,363 – $5,929
New Jersey NJ56$2,162+12%$1,793 – $4,881
New York NY74$1,922−1%$1,122 – $3,506
Colorado CO44$1,888−2%$1,375 – $3,324
Hawaii HI14$1,886−3%$773 – $3,068
Virginia VA45$1,815−6%$1,035 – $3,834
Missouri MO49$1,793−7%$1,136 – $2,891
New Mexico NM12$1,773−8%$1,016 – $3,287
Oregon OR40$1,771−8%$379 – $5,112
Minnesota MN61$1,735−10%$801 – $2,671
West Virginia WV16$1,729−11%$367 – $2,498
Michigan MI69$1,718−11%$1,311 – $3,182
Maine ME11$1,629−16%$931 – $2,286
Illinois IL89$1,604−17%$788 – $2,995
Oklahoma OK41$1,568−19%$1,064 – $2,772
Indiana IN68$1,502−22%$947 – $3,042
Wisconsin WI82$1,500−23%$1,150 – $2,470
North Carolina NC63$1,482−23%$782 – $2,265
Utah UT26$1,336−31%$1,336 – $1,572
Nevada NV13$1,316−32%$689 – $1,796
Washington WA56$1,280−34%$536 – $3,663
Nebraska NE26$1,268−34%$1,003 – $2,430
Iowa IA44$1,253−35%$298 – $2,729
Louisiana LA36$1,103−43%$576 – $2,368
Mississippi MS36$1,101−43%$742 – $1,340
Arkansas AR18$1,069−45%$645 – $2,022
Kansas KS43$995−49%$324 – $1,615
Arizona AZ36$988−49%$650 – $3,173
New Hampshire NH12$694−64%$118 – $1,811
Montana MT19$632−67%$184 – $1,660
Tennessee TN51$593−69%$488 – $1,697
North Dakota ND9not enough hospitals filed a usable price
Alaska AK7not enough hospitals filed a usable price
Delaware DE7not enough hospitals filed a usable price
Rhode Island RI7not enough hospitals filed a usable price
Wyoming WY7not enough hospitals filed a usable price
Maryland MD6not enough hospitals filed a usable price
Vermont VT6not 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 $1,936.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,822$2,028$1,122 – $3,750
Children’s44$2,291$1,386 – $4,742
Critical access318$1,307$492 – $2,717
Ownership
For-profit234$2,265$1,200 – $4,648
Government332$1,494$644 – $2,747
Non-profit1,618$1,950$1,080 – $3,507
System affiliation
Part of a system1,814$1,976$1,095 – $3,683
Independent379$1,586$602 – $3,081

Cash price vs list price

Median list price (chargemaster)$3,553
Median cash price$1,936
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

1,638 hospitals filed a usable inpatient cash price for this code. The median is $2,094 and the average of the middle 60% is $2,158; most fall between $1,087 and $3,687.

Cash price percentiles, inpatient, across 1,638 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
$656$1,253$2,094$3,266$4,843

The most expensive tenth of hospitals charges at least 7.4× what the cheapest tenth charges ($656 vs $4,843).

Of the 1,746 hospitals that filed this code inpatient, 1,638 gave a usable cash price; 35 carried a plausibility flag, 1 filed a number their own filing marks as not a price, 0 gave an estimate, and 72 a list price only.

How complete is this

2,193 of the 3,956 hospitals with a price file in our corpus (55%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 2,355 hospitals that filed this code at all gave us
Usable cash price — counted2,193
Cash price carrying a plausibility flag — shown on the compare tool, excluded here74
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded5
A list price only, no cash figure — excluded82
Hospitals that filed this code2,355

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 Biopsy Bone Trocar/Needle Deep.

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 deep bone (CPT 20225) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-20225-needle-biopsy-of-deep-bone