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Procedure price report · Bone marrow biopsy

Bone marrow biopsy only

CPT 38221the billing code this page is about

A needle is used to remove a small core of solid bone marrow tissue for testing; the fluid aspiration is not included.

Hospitals typically charge $1,400 cash for this outpatient procedure — the median across 2,235 hospitals that filed a usable cash price; the average of the middle 60% is $1,432. Most fall between $500 and $2,662 (20th–80th percentile).

Hospitals
2,235
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 2,235 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
$263$593$1,400$2,311$4,018

The most expensive tenth of hospitals charges at least 15× what the cheapest tenth charges ($263 vs $4,018).

How the prices are spread

$164 – $232: 89 hospitals$164$232 – $327: 86 hospitals$327 – $462: 128 hospitals$327$462 – $654: 189 hospitals$654 – $924: 175 hospitals$654$924 – $1,306: 268 hospitals$1,306 – $1,846: 367 hospitals$1,306$1,846 – $2,609: 358 hospitals$2,609 – $3,687: 182 hospitals$2,609$3,687 – $5,211: 171 hospitals$3,687median $1,400price bands are equal on a log scale
Hospitals per price band (2,013 of 2,235 — the bands cover the 5th to 95th percentile)
FromToHospitals
$164$23289
$232$32786
$327$462128
$462$654189
$654$924175
$924$1,306268
$1,306$1,846367
$1,846$2,609358
$2,609$3,687182
$3,687$5,211171

Against Medicare

Medicare pays (OPPS 2026, national rate)$1,687
Median cash price$1,400
Cash as a multiple of Medicare0.83×

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 $1,400.

Alaska: 9 hospitals filed a usable price — fewer than 10, so no figureAKMaine: median $810 across 10 hospitalsME$810Vermont: 7 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: median $887 across 11 hospitalsNH$887Washington: median $1,332 across 54 hospitalsWA$1,332Idaho: median $1,749 across 16 hospitalsID$1,749Montana: median $253 across 14 hospitalsMT$253North Dakota: median $1,664 across 12 hospitalsND$1,664Minnesota: median $685 across 59 hospitalsMN$685Illinois: median $1,300 across 97 hospitalsIL$1,300Wisconsin: median $759 across 85 hospitalsWI$759Michigan: median $1,600 across 65 hospitalsMI$1,600New York: median $1,917 across 77 hospitalsNY$1,917Massachusetts: median $1,584 across 36 hospitalsMA$1,584Oregon: median $463 across 39 hospitalsOR$463Nevada: median $597 across 13 hospitalsNV$597Wyoming: 9 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: median $2,298 across 12 hospitalsSD$2,298Iowa: median $833 across 48 hospitalsIA$833Indiana: median $792 across 71 hospitalsIN$792Ohio: median $1,828 across 120 hospitalsOH$1,828Pennsylvania: median $1,899 across 97 hospitalsPA$1,899New Jersey: median $2,137 across 56 hospitalsNJ$2,137Connecticut: median $2,601 across 20 hospitalsCT$2,601Rhode Island: 9 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $2,022 across 171 hospitalsCA$2,022Utah: median $1,065 across 15 hospitalsUT$1,065Colorado: median $1,665 across 49 hospitalsCO$1,665Nebraska: median $632 across 42 hospitalsNE$632Missouri: median $1,646 across 52 hospitalsMO$1,646Kentucky: median $1,288 across 41 hospitalsKY$1,288West Virginia: median $1,899 across 25 hospitalsWV$1,899Virginia: median $1,166 across 44 hospitalsVA$1,166Maryland: 8 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 6 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $1,237 across 36 hospitalsAZ$1,237New Mexico: median $2,157 across 11 hospitalsNM$2,157Kansas: median $604 across 42 hospitalsKS$604Arkansas: median $600 across 20 hospitalsAR$600Tennessee: median $628 across 54 hospitalsTN$628North Carolina: median $1,317 across 72 hospitalsNC$1,317South Carolina: median $1,316 across 40 hospitalsSC$1,316Oklahoma: median $777 across 43 hospitalsOK$777Louisiana: median $682 across 36 hospitalsLA$682Mississippi: median $617 across 36 hospitalsMS$617Alabama: median $1,700 across 30 hospitalsAL$1,700Georgia: median $1,521 across 68 hospitalsGA$1,521Hawaii: median $1,922 across 14 hospitalsHI$1,922Texas: median $1,352 across 145 hospitalsTX$1,352Florida: median $2,660 across 89 hospitalsFL$2,660
Cash price by state, most expensive first. National median $1,400. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Florida FL89$2,660+90%$1,078 – $4,422
Connecticut CT20$2,601+86%$390 – $3,939
South Dakota SD12$2,298+64%$1,294 – $3,629
New Mexico NM11$2,157+54%$1,794 – $2,564
New Jersey NJ56$2,137+53%$1,793 – $5,110
California CA171$2,022+44%$1,061 – $3,250
Hawaii HI14$1,922+37%$192 – $2,679
New York NY77$1,917+37%$348 – $3,506
Pennsylvania PA97$1,899+36%$1,181 – $4,062
West Virginia WV25$1,899+36%$72 – $2,306
Ohio OH120$1,828+31%$1,053 – $3,220
Idaho ID16$1,749+25%$323 – $4,347
Alabama AL30$1,700+21%$830 – $2,596
Colorado CO49$1,665+19%$539 – $2,809
North Dakota ND12$1,664+19%$462 – $2,588
Missouri MO52$1,646+18%$714 – $2,186
Michigan MI65$1,600+14%$637 – $2,271
Massachusetts MA36$1,584+13%$818 – $2,908
Georgia GA68$1,521+9%$482 – $3,906
Texas TX145$1,352−3%$794 – $2,662
Washington WA54$1,332−5%$438 – $3,130
North Carolina NC72$1,317−6%$956 – $1,932
South Carolina SC40$1,316−6%$398 – $1,763
Illinois IL97$1,300−7%$398 – $2,795
Kentucky KY41$1,288−8%$266 – $6,506
Arizona AZ36$1,237−12%$370 – $5,041
Virginia VA44$1,166−17%$555 – $1,263
Utah UT15$1,065−24%$1,065 – $1,688
New Hampshire NH11$887−37%$86 – $949
Iowa IA48$833−40%$250 – $1,833
Maine ME10$810−42%$236 – $978
Indiana IN71$792−43%$375 – $1,692
Oklahoma OK43$777−45%$116 – $1,949
Wisconsin WI85$759−46%$458 – $1,840
Minnesota MN59$685−51%$442 – $1,610
Louisiana LA36$682−51%$360 – $1,776
Nebraska NE42$632−55%$318 – $1,452
Tennessee TN54$628−55%$495 – $1,289
Mississippi MS36$617−56%$423 – $1,356
Kansas KS42$604−57%$205 – $1,555
Arkansas AR20$600−57%$370 – $1,511
Nevada NV13$597−57%$333 – $2,396
Oregon OR39$463−67%$235 – $4,484
Montana MT14$253−82%$162 – $743
Alaska AK9not enough hospitals filed a usable price
Rhode Island RI9not enough hospitals filed a usable price
Wyoming WY9not enough hospitals filed a usable price
Maryland MD8not enough hospitals filed a usable price
Vermont VT7not enough hospitals filed a usable price
Delaware DE6not 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 $1,400.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,787$1,521$628 – $2,907
Children’s50$1,491$394 – $2,337
Critical access390$569$211 – $1,685
Ownership
For-profit217$1,685$556 – $4,257
Government361$1,113$351 – $2,125
Non-profit1,649$1,428$522 – $2,660
System affiliation
Part of a system1,853$1,445$540 – $2,726
Independent382$1,219$308 – $2,352

Cash price vs list price

Median list price (chargemaster)$2,350
Median cash price$1,400
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

1,659 hospitals filed a usable inpatient cash price for this code. The median is $1,352 and the average of the middle 60% is $1,431; most fall between $555 and $2,662.

Cash price percentiles, inpatient, across 1,659 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
$318$681$1,352$2,294$4,081

The most expensive tenth of hospitals charges at least 13× what the cheapest tenth charges ($318 vs $4,081).

Of the 1,791 hospitals that filed this code inpatient, 1,659 gave a usable cash price; 43 carried a plausibility flag, 1 filed a number their own filing marks as not a price, 0 gave an estimate, and 88 a list price only.

How complete is this

2,235 of the 3,956 hospitals with a price file in our corpus (56%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 2,431 hospitals that filed this code at all gave us
Usable cash price — counted2,235
Cash price carrying a plausibility flag — shown on the compare tool, excluded here102
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded1
A list price only, no cash figure — excluded92
Hospitals that filed this code2,431

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 Biopsies.

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 biopsy only (CPT 38221) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-38221-bone-marrow-biopsy-only