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Procedure price report · Other diagnostic procedures on musculoskeletal system

Open biopsy of bone near the surface

CPT 20240the billing code this page is about

Through a surgical incision, a sample is taken from a bone lying close to the surface for laboratory examination.

Hospitals typically charge $2,884 cash for this outpatient procedure — the median across 1,469 hospitals that filed a usable cash price; the average of the middle 60% is $2,764. Most fall between $529 and $5,316 (20th–80th percentile).

Hospitals
1,469
States
50
Filings dated
Aug 2022 – 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 1,469 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
$319$739$2,884$4,759$7,606

The most expensive tenth of hospitals charges at least 24× what the cheapest tenth charges ($319 vs $7,606).

How the prices are spread

$221 – $323: 82 hospitals$221$323 – $471: 122 hospitals$471 – $688: 62 hospitals$471$688 – $1,005: 89 hospitals$1,005 – $1,469: 64 hospitals$1,005$1,469 – $2,146: 108 hospitals$2,146 – $3,134: 177 hospitals$2,146$3,134 – $4,579: 308 hospitals$4,579 – $6,689: 211 hospitals$4,579$6,689 – $9,771: 101 hospitals$6,689median $2,884price bands are equal on a log scale
Hospitals per price band (1,324 of 1,469 — the bands cover the 5th to 95th percentile)
FromToHospitals
$221$32382
$323$471122
$471$68862
$688$1,00589
$1,005$1,46964
$1,469$2,146108
$2,146$3,134177
$3,134$4,579308
$4,579$6,689211
$6,689$9,771101

Against Medicare

Medicare pays (OPPS 2026, national rate)$2,968
Median cash price$2,884
Cash as a multiple of Medicare0.97×

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 $2,884.

Alaska: 9 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 7 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 8 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: median $209 across 10 hospitalsNH$209Washington: median $2,123 across 44 hospitalsWA$2,123Idaho: median $2,884 across 15 hospitalsID$2,884Montana: 9 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 7 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $823 across 38 hospitalsMN$823Illinois: median $2,740 across 67 hospitalsIL$2,740Wisconsin: median $983 across 44 hospitalsWI$983Michigan: median $2,560 across 46 hospitalsMI$2,560New York: median $3,387 across 74 hospitalsNY$3,387Massachusetts: median $4,382 across 30 hospitalsMA$4,382Oregon: median $404 across 35 hospitalsOR$404Nevada: 8 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 6 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: median $2,372 across 11 hospitalsSD$2,372Iowa: median $707 across 47 hospitalsIA$707Indiana: median $1,306 across 50 hospitalsIN$1,306Ohio: median $3,510 across 73 hospitalsOH$3,510Pennsylvania: median $3,506 across 61 hospitalsPA$3,506New Jersey: median $3,819 across 40 hospitalsNJ$3,819Connecticut: median $5,948 across 13 hospitalsCT$5,948Rhode Island: 8 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $3,717 across 79 hospitalsCA$3,717Utah: 4 hospitals filed a usable price — fewer than 10, so no figureUTColorado: median $3,274 across 34 hospitalsCO$3,274Nebraska: median $1,635 across 22 hospitalsNE$1,635Missouri: median $2,855 across 35 hospitalsMO$2,855Kentucky: median $1,894 across 19 hospitalsKY$1,894West Virginia: median $579 across 22 hospitalsWV$579Virginia: median $5,024 across 22 hospitalsVA$5,024Maryland: 9 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 5 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $8,924 across 22 hospitalsAZ$8,924New Mexico: median $3,334 across 10 hospitalsNM$3,334Kansas: median $990 across 27 hospitalsKS$990Arkansas: median $1,933 across 13 hospitalsAR$1,933Tennessee: median $1,446 across 17 hospitalsTN$1,446North Carolina: median $2,844 across 40 hospitalsNC$2,844South Carolina: median $3,390 across 23 hospitalsSC$3,390Oklahoma: median $1,491 across 27 hospitalsOK$1,491Louisiana: median $2,285 across 25 hospitalsLA$2,285Mississippi: median $1,075 across 16 hospitalsMS$1,075Alabama: median $2,431 across 19 hospitalsAL$2,431Georgia: median $5,178 across 50 hospitalsGA$5,178Hawaii: 5 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $3,715 across 108 hospitalsTX$3,715Florida: median $5,918 across 56 hospitalsFL$5,918
Cash price by state, most expensive first. National median $2,884. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Arizona AZ22$8,924+209%$986 – $12,400
Connecticut CT13$5,948+106%$3,395 – $9,645
Florida FL56$5,918+105%$2,873 – $8,764
Georgia GA50$5,178+80%$2,391 – $5,810
Virginia VA22$5,024+74%$2,475 – $5,118
Massachusetts MA30$4,382+52%$2,474 – $5,984
New Jersey NJ40$3,819+32%$3,171 – $5,855
California CA79$3,717+29%$937 – $5,245
Texas TX108$3,715+29%$1,920 – $4,225
Ohio OH73$3,510+22%$1,325 – $7,690
Pennsylvania PA61$3,506+22%$2,236 – $5,310
South Carolina SC23$3,390+18%$3,390 – $4,910
New York NY74$3,387+17%$364 – $5,610
New Mexico NM10$3,334+16%$283 – $9,127
Colorado CO34$3,274+14%$765 – $3,872
Idaho ID15$2,8840%$285 – $7,765
Missouri MO35$2,855−1%$350 – $6,225
North Carolina NC40$2,844−1%$1,591 – $3,541
Illinois IL67$2,740−5%$356 – $5,277
Michigan MI46$2,560−11%$983 – $3,994
Alabama AL19$2,431−16%$384 – $5,961
South Dakota SD11$2,372−18%$590 – $7,076
Louisiana LA25$2,285−21%$1,148 – $3,995
Washington WA44$2,123−26%$489 – $5,968
Arkansas AR13$1,933−33%$645 – $5,483
Kentucky KY19$1,894−34%$222 – $11,492
Nebraska NE22$1,635−43%$423 – $2,489
Oklahoma OK27$1,491−48%$200 – $4,036
Tennessee TN17$1,446−50%$213 – $3,783
Indiana IN50$1,306−55%$334 – $4,834
Mississippi MS16$1,075−63%$610 – $1,935
Kansas KS27$990−66%$369 – $1,625
Wisconsin WI44$983−66%$697 – $2,272
Minnesota MN38$823−71%$315 – $1,417
Iowa IA47$707−75%$357 – $3,906
West Virginia WV22$579−80%$146 – $3,505
Oregon OR35$404−86%$255 – $733
New Hampshire NH10$209−93%$165 – $498
Alaska AK9not enough hospitals filed a usable price
Maryland MD9not enough hospitals filed a usable price
Montana MT9not enough hospitals filed a usable price
Nevada NV8not enough hospitals filed a usable price
Rhode Island RI8not enough hospitals filed a usable price
Vermont VT8not enough hospitals filed a usable price
Maine ME7not enough hospitals filed a usable price
North Dakota ND7not enough hospitals filed a usable price
Wyoming WY6not enough hospitals filed a usable price
Delaware DE5not enough hospitals filed a usable price
Hawaii HI5not enough hospitals filed a usable price
Utah UT4not 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 $2,884.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,136$3,295$983 – $5,810
Children’s17fewer than 20 hospitals
Critical access310$697$315 – $3,407
Ownership
For-profit144$3,566$1,316 – $7,765
Government243$1,625$365 – $3,906
Non-profit1,076$3,014$609 – $5,393
System affiliation
Part of a system1,193$3,171$735 – $5,595
Independent276$1,118$342 – $3,936

Cash price vs list price

Median list price (chargemaster)$4,861
Median cash price$2,884
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

987 hospitals filed a usable inpatient cash price for this code. The median is $3,160 and the average of the middle 60% is $2,989; most fall between $628 and $5,397.

Cash price percentiles, inpatient, across 987 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
$337$983$3,160$4,997$7,690

The most expensive tenth of hospitals charges at least 23× what the cheapest tenth charges ($337 vs $7,690).

Of the 1,078 hospitals that filed this code inpatient, 987 gave a usable cash price; 44 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 47 a list price only.

How complete is this

1,469 of the 3,956 hospitals with a price file in our corpus (37%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,619 hospitals that filed this code at all gave us
Usable cash price — counted1,469
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) — excluded2
An estimate rather than a filed cash price — excluded3
A list price only, no cash figure — excluded61
Hospitals that filed this code1,619

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 Open Superficial.

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, “Open biopsy of bone near the surface (CPT 20240) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-20240-open-biopsy-of-bone-near-the-surface