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Procedure price report · Bone marrow biopsy

Bone marrow aspiration only

CPT 38220the billing code this page is about

A needle is used to draw liquid marrow from inside a bone, usually the hip, for testing; no core tissue sample is taken.

Hospitals typically charge $1,269 cash for this outpatient procedure — the median across 2,025 hospitals that filed a usable cash price; the average of the middle 60% is $1,285. Most fall between $379 and $2,580 (20th–80th percentile).

Hospitals
2,025
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 2,025 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
$224$464$1,269$2,156$3,869

The most expensive tenth of hospitals charges at least 17× what the cheapest tenth charges ($224 vs $3,869).

How the prices are spread

$143 – $203: 80 hospitals$143$203 – $290: 121 hospitals$290 – $413: 133 hospitals$290$413 – $588: 186 hospitals$588 – $837: 136 hospitals$588$837 – $1,193: 182 hospitals$1,193 – $1,699: 345 hospitals$1,193$1,699 – $2,421: 312 hospitals$2,421 – $3,449: 172 hospitals$2,421$3,449 – $4,913: 156 hospitals$3,449median $1,269price bands are equal on a log scale
Hospitals per price band (1,823 of 2,025 — the bands cover the 5th to 95th percentile)
FromToHospitals
$143$20380
$203$290121
$290$413133
$413$588186
$588$837136
$837$1,193182
$1,193$1,699345
$1,699$2,421312
$2,421$3,449172
$3,449$4,913156

Against Medicare

Medicare pays (OPPS 2026, national rate)$1,687
Median cash price$1,269
Cash as a multiple of Medicare0.75×

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 $1,269.

Alaska: 7 hospitals filed a usable price — fewer than 10, so no figureAKMaine: median $932 across 10 hospitalsME$932Vermont: 8 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: median $255 across 12 hospitalsNH$255Washington: median $1,336 across 48 hospitalsWA$1,336Idaho: median $1,546 across 13 hospitalsID$1,546Montana: median $257 across 14 hospitalsMT$257North Dakota: median $1,984 across 13 hospitalsND$1,984Minnesota: median $503 across 54 hospitalsMN$503Illinois: median $1,021 across 87 hospitalsIL$1,021Wisconsin: median $723 across 80 hospitalsWI$723Michigan: median $1,531 across 68 hospitalsMI$1,531New York: median $1,917 across 72 hospitalsNY$1,917Massachusetts: median $991 across 28 hospitalsMA$991Oregon: median $361 across 33 hospitalsOR$361Nevada: median $577 across 12 hospitalsNV$577Wyoming: 8 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: median $1,617 across 10 hospitalsSD$1,617Iowa: median $786 across 37 hospitalsIA$786Indiana: median $634 across 68 hospitalsIN$634Ohio: median $1,344 across 107 hospitalsOH$1,344Pennsylvania: median $1,886 across 82 hospitalsPA$1,886New Jersey: median $2,162 across 51 hospitalsNJ$2,162Connecticut: median $2,376 across 17 hospitalsCT$2,376Rhode Island: 9 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $2,113 across 155 hospitalsCA$2,113Utah: median $285 across 27 hospitalsUT$285Colorado: median $1,269 across 42 hospitalsCO$1,269Nebraska: median $480 across 38 hospitalsNE$480Missouri: median $1,272 across 50 hospitalsMO$1,272Kentucky: median $1,057 across 40 hospitalsKY$1,057West Virginia: median $1,406 across 25 hospitalsWV$1,406Virginia: median $1,115 across 39 hospitalsVA$1,115Maryland: 7 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 5 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $520 across 25 hospitalsAZ$520New Mexico: 8 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $563 across 36 hospitalsKS$563Arkansas: median $915 across 17 hospitalsAR$915Tennessee: median $464 across 41 hospitalsTN$464North Carolina: median $1,248 across 68 hospitalsNC$1,248South Carolina: median $1,316 across 35 hospitalsSC$1,316Oklahoma: median $1,029 across 33 hospitalsOK$1,029Louisiana: median $887 across 39 hospitalsLA$887Mississippi: median $477 across 31 hospitalsMS$477Alabama: median $1,729 across 23 hospitalsAL$1,729Georgia: median $1,564 across 57 hospitalsGA$1,564Hawaii: median $2,134 across 13 hospitalsHI$2,134Texas: median $1,377 across 136 hospitalsTX$1,377Florida: median $2,417 across 87 hospitalsFL$2,417
Cash price by state, most expensive first. National median $1,269. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Florida FL87$2,417+90%$1,078 – $3,329
Connecticut CT17$2,376+87%$350 – $3,939
New Jersey NJ51$2,162+70%$1,793 – $5,339
Hawaii HI13$2,134+68%$193 – $3,869
California CA155$2,113+67%$997 – $3,366
North Dakota ND13$1,984+56%$287 – $2,398
New York NY72$1,917+51%$327 – $3,580
Pennsylvania PA82$1,886+49%$758 – $2,586
Alabama AL23$1,729+36%$875 – $2,608
South Dakota SD10$1,617+27%$645 – $3,819
Georgia GA57$1,564+23%$267 – $3,906
Idaho ID13$1,546+22%$285 – $4,347
Michigan MI68$1,531+21%$80 – $2,271
West Virginia WV25$1,406+11%$72 – $2,212
Texas TX136$1,377+8%$527 – $2,113
Ohio OH107$1,344+6%$716 – $3,066
Washington WA48$1,336+5%$305 – $2,871
South Carolina SC35$1,316+4%$894 – $2,626
Missouri MO50$1,2720%$424 – $1,800
Colorado CO42$1,2690%$515 – $4,128
North Carolina NC68$1,248−2%$610 – $1,740
Virginia VA39$1,115−12%$415 – $1,320
Kentucky KY40$1,057−17%$253 – $4,451
Oklahoma OK33$1,029−19%$809 – $1,939
Illinois IL87$1,021−20%$284 – $2,095
Massachusetts MA28$991−22%$548 – $1,721
Maine ME10$932−27%$105 – $1,367
Arkansas AR17$915−28%$378 – $2,632
Louisiana LA39$887−30%$314 – $1,940
Iowa IA37$786−38%$284 – $1,914
Wisconsin WI80$723−43%$447 – $1,587
Indiana IN68$634−50%$340 – $1,479
Nevada NV12$577−55%$321 – $2,396
Kansas KS36$563−56%$184 – $1,555
Arizona AZ25$520−59%$333 – $3,598
Minnesota MN54$503−60%$284 – $1,482
Nebraska NE38$480−62%$273 – $1,432
Mississippi MS31$477−62%$271 – $732
Tennessee TN41$464−63%$415 – $628
Oregon OR33$361−72%$230 – $2,612
Utah UT27$285−78%$279 – $285
Montana MT14$257−80%$149 – $610
New Hampshire NH12$255−80%$68 – $831
Rhode Island RI9not enough hospitals filed a usable price
New Mexico NM8not enough hospitals filed a usable price
Vermont VT8not enough hospitals filed a usable price
Wyoming WY8not enough hospitals filed a usable price
Alaska AK7not enough hospitals filed a usable price
Maryland MD7not enough hospitals filed a usable price
Delaware DE5not 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 $1,269.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,603$1,391$495 – $2,656
Children’s50$1,204$351 – $2,335
Critical access365$451$193 – $1,445
Ownership
For-profit196$1,563$495 – $3,198
Government298$932$268 – $1,917
Non-profit1,524$1,293$405 – $2,636
System affiliation
Part of a system1,692$1,306$420 – $2,654
Independent333$1,025$258 – $2,232

Cash price vs list price

Median list price (chargemaster)$2,156
Median cash price$1,269
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

1,504 hospitals filed a usable inpatient cash price for this code. The median is $1,275 and the average of the middle 60% is $1,353; most fall between $423 and $2,654.

Cash price percentiles, inpatient, across 1,504 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
$260$557$1,275$2,192$3,879

The most expensive tenth of hospitals charges at least 15× what the cheapest tenth charges ($260 vs $3,879).

Of the 1,616 hospitals that filed this code inpatient, 1,504 gave a usable cash price; 39 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 73 a list price only.

How complete is this

2,025 of the 3,956 hospitals with a price file in our corpus (51%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 2,193 hospitals that filed this code at all gave us
Usable cash price — counted2,025
Cash price carrying a plausibility flag — shown on the compare tool, excluded here90
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded2
A list price only, no cash figure — excluded76
Hospitals that filed this code2,193

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 Bone marrow biopsy family.

Hospitals file this code under descriptions such as Diagnostic Bone Marrow Aspirations.

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, “Bone marrow aspiration only (CPT 38220) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-38220-bone-marrow-aspiration-only