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Procedure price report · Other diagnostic procedures on musculoskeletal system

Open biopsy of deep bone

CPT 20245the billing code this page is about

Through a surgical incision, a sample is taken from a deeply located bone for laboratory examination.

Hospitals typically charge $2,521 cash for this outpatient procedure — the median across 871 hospitals that filed a usable cash price; the average of the middle 60% is $2,572. Most fall between $874 and $5,451 (20th–80th percentile).

Hospitals
871
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 871 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
$592$1,004$2,521$4,529$8,557

The most expensive tenth of hospitals charges at least 14× what the cheapest tenth charges ($592 vs $8,557).

How the prices are spread

$412 – $565: 38 hospitals$412$565 – $776: 77 hospitals$776 – $1,066: 83 hospitals$776$1,066 – $1,464: 85 hospitals$1,464 – $2,011: 57 hospitals$1,464$2,011 – $2,761: 82 hospitals$2,761 – $3,792: 136 hospitals$2,761$3,792 – $5,208: 86 hospitals$5,208 – $7,152: 62 hospitals$5,208$7,152 – $9,822: 81 hospitals$7,152median $2,521price bands are equal on a log scale
Hospitals per price band (787 of 871 — the bands cover the 5th to 95th percentile)
FromToHospitals
$412$56538
$565$77677
$776$1,06683
$1,066$1,46485
$1,464$2,01157
$2,011$2,76182
$2,761$3,792136
$3,792$5,20886
$5,208$7,15262
$7,152$9,82281

Against Medicare

Medicare pays (OPPS 2026, national rate)$2,968
Median cash price$2,521
Cash as a multiple of Medicare0.85×

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 $2,521.

Alaska: 3 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 5 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 9 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: median $460 across 10 hospitalsNH$460Washington: median $1,035 across 20 hospitalsWA$1,035Idaho: median $2,828 across 13 hospitalsID$2,828Montana: 7 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 4 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $2,140 across 30 hospitalsMN$2,140Illinois: median $1,364 across 38 hospitalsIL$1,364Wisconsin: median $2,677 across 47 hospitalsWI$2,677Michigan: median $2,470 across 30 hospitalsMI$2,470New York: median $2,313 across 42 hospitalsNY$2,313Massachusetts: median $7,424 across 16 hospitalsMA$7,424Oregon: median $987 across 25 hospitalsOR$987Nevada: 7 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 5 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 3 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $1,105 across 26 hospitalsIA$1,105Indiana: median $1,055 across 33 hospitalsIN$1,055Ohio: median $6,378 across 37 hospitalsOH$6,378Pennsylvania: median $3,356 across 45 hospitalsPA$3,356New Jersey: median $3,643 across 38 hospitalsNJ$3,643Connecticut: 9 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 4 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $4,529 across 60 hospitalsCA$4,529Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: median $2,799 across 16 hospitalsCO$2,799Nebraska: median $1,187 across 15 hospitalsNE$1,187Missouri: median $2,329 across 24 hospitalsMO$2,329Kentucky: median $608 across 12 hospitalsKY$608West Virginia: median $367 across 14 hospitalsWV$367Virginia: 6 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: 5 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 1 hospital filed a usable price — fewer than 10, so no figureDEArizona: 4 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 4 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $762 across 10 hospitalsKS$762Arkansas: 6 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 8 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: median $1,753 across 12 hospitalsNC$1,753South Carolina: 7 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $750 across 14 hospitalsOK$750Louisiana: median $2,047 across 12 hospitalsLA$2,047Mississippi: median $942 across 14 hospitalsMS$942Alabama: median $2,982 across 16 hospitalsAL$2,982Georgia: median $4,089 across 25 hospitalsGA$4,089Hawaii: 5 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $3,642 across 55 hospitalsTX$3,642Florida: median $3,491 across 19 hospitalsFL$3,491
Cash price by state, most expensive first. National median $2,521. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Massachusetts MA16$7,424+194%$2,975 – $9,055
Ohio OH37$6,378+153%$1,716 – $8,557
California CA60$4,529+80%$1,046 – $9,822
Georgia GA25$4,089+62%$2,192 – $12,966
New Jersey NJ38$3,643+45%$3,128 – $5,110
Texas TX55$3,642+44%$3,169 – $4,456
Florida FL19$3,491+38%$1,716 – $11,289
Pennsylvania PA45$3,356+33%$259 – $5,398
Alabama AL16$2,982+18%$1,004 – $8,965
Idaho ID13$2,828+12%$884 – $7,765
Colorado CO16$2,799+11%$1,246 – $8,028
Wisconsin WI47$2,677+6%$1,410 – $3,617
Michigan MI30$2,470−2%$1,206 – $3,684
Missouri MO24$2,329−8%$807 – $4,878
New York NY42$2,313−8%$694 – $3,448
Minnesota MN30$2,140−15%$780 – $2,599
Louisiana LA12$2,047−19%$1,697 – $4,059
North Carolina NC12$1,753−30%$687 – $2,611
Illinois IL38$1,364−46%$614 – $7,267
Nebraska NE15$1,187−53%$862 – $2,712
Iowa IA26$1,105−56%$784 – $1,187
Indiana IN33$1,055−58%$635 – $3,058
Washington WA20$1,035−59%$625 – $1,920
Oregon OR25$987−61%$625 – $1,129
Mississippi MS14$942−63%$796 – $1,236
Kansas KS10$762−70%$643 – $960
Oklahoma OK14$750−70%$750 – $5,835
Kentucky KY12$608−76%$473 – $3,008
New Hampshire NH10$460−82%$379 – $1,214
West Virginia WV14$367−85%$354 – $1,628
Connecticut CT9not enough hospitals filed a usable price
Vermont VT9not enough hospitals filed a usable price
Tennessee TN8not enough hospitals filed a usable price
Montana MT7not enough hospitals filed a usable price
Nevada NV7not enough hospitals filed a usable price
South Carolina SC7not enough hospitals filed a usable price
Arkansas AR6not enough hospitals filed a usable price
Virginia VA6not enough hospitals filed a usable price
Hawaii HI5not enough hospitals filed a usable price
Maryland MD5not enough hospitals filed a usable price
Maine ME5not enough hospitals filed a usable price
Wyoming WY5not enough hospitals filed a usable price
Arizona AZ4not enough hospitals filed a usable price
North Dakota ND4not enough hospitals filed a usable price
New Mexico NM4not enough hospitals filed a usable price
Rhode Island RI4not enough hospitals filed a usable price
Alaska AK3not enough hospitals filed a usable price
South Dakota SD3not enough hospitals filed a usable price
Delaware DE1not enough hospitals filed a usable price
Utah UT1not 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 $2,521.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care666$2,975$987 – $6,225
Children’s14fewer than 20 hospitals
Critical access189$1,150$646 – $2,912
Ownership
For-profit79$3,058$1,097 – $7,765
Government141$1,311$711 – $3,387
Non-profit649$2,657$913 – $5,728
System affiliation
Part of a system690$2,912$914 – $5,996
Independent181$1,384$746 – $3,178

Cash price vs list price

Median list price (chargemaster)$3,696
Median cash price$2,521
Cash as a share of list, median hospital63%

At the typical hospital, asking for the cash price cuts the list price by about 37%. 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

524 hospitals filed a usable inpatient cash price for this code. The median is $2,611 and the average of the middle 60% is $2,706; most fall between $780 and $5,879.

Cash price percentiles, inpatient, across 524 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
$577$1,004$2,611$4,529$8,557

The most expensive tenth of hospitals charges at least 15× what the cheapest tenth charges ($577 vs $8,557).

Of the 573 hospitals that filed this code inpatient, 524 gave a usable cash price; 21 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 28 a list price only.

How complete is this

871 of the 3,956 hospitals with a price file in our corpus (22%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 957 hospitals that filed this code at all gave us
Usable cash price — counted871
Cash price carrying a plausibility flag — shown on the compare tool, excluded here49
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded3
A list price only, no cash figure — excluded34
Hospitals that filed this code957

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 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, “Open biopsy of deep bone (CPT 20245) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-20245-open-biopsy-of-deep-bone