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Procedure price report · Bone marrow biopsy

Bone marrow biopsy and aspiration together

CPT 38222the billing code this page is about

Both a core tissue sample and a liquid marrow sample are taken from the bone during the same visit.

Hospitals typically charge $2,317 cash for this outpatient procedure — the median across 2,142 hospitals that filed a usable cash price; the average of the middle 60% is $2,362. Most fall between $846 and $4,298 (20th–80th percentile).

Hospitals
2,142
States
50
Filings dated
Jan 2024 – 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 2,142 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
$396$1,119$2,317$3,643$6,192

The most expensive tenth of hospitals charges at least 16× what the cheapest tenth charges ($396 vs $6,192).

How the prices are spread

$214 – $307: 50 hospitals$214$307 – $440: 76 hospitals$440 – $632: 82 hospitals$440$632 – $906: 146 hospitals$906 – $1,300: 131 hospitals$906$1,300 – $1,865: 255 hospitals$1,865 – $2,676: 416 hospitals$1,865$2,676 – $3,839: 384 hospitals$3,839 – $5,507: 214 hospitals$3,839$5,507 – $7,901: 174 hospitals$5,507median $2,317price bands are equal on a log scale
Hospitals per price band (1,928 of 2,142 — the bands cover the 5th to 95th percentile)
FromToHospitals
$214$30750
$307$44076
$440$63282
$632$906146
$906$1,300131
$1,300$1,865255
$1,865$2,676416
$2,676$3,839384
$3,839$5,507214
$5,507$7,901174

Against Medicare

Medicare pays (OPPS 2026, national rate)$2,968
Median cash price$2,317
Cash as a multiple of Medicare0.78×

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 $2,317.

Alaska: 9 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 9 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 5 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: median $1,595 across 12 hospitalsNH$1,595Washington: median $2,297 across 49 hospitalsWA$2,297Idaho: median $2,149 across 16 hospitalsID$2,149Montana: median $270 across 13 hospitalsMT$270North Dakota: 8 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $1,263 across 60 hospitalsMN$1,263Illinois: median $1,982 across 88 hospitalsIL$1,982Wisconsin: median $880 across 82 hospitalsWI$880Michigan: median $2,056 across 74 hospitalsMI$2,056New York: median $3,626 across 86 hospitalsNY$3,626Massachusetts: median $2,854 across 36 hospitalsMA$2,854Oregon: median $1,856 across 36 hospitalsOR$1,856Nevada: median $1,548 across 11 hospitalsNV$1,548Wyoming: 6 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 9 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $1,982 across 37 hospitalsIA$1,982Indiana: median $1,623 across 68 hospitalsIN$1,623Ohio: median $2,984 across 121 hospitalsOH$2,984Pennsylvania: median $3,269 across 100 hospitalsPA$3,269New Jersey: median $3,792 across 55 hospitalsNJ$3,792Connecticut: median $3,226 across 21 hospitalsCT$3,226Rhode Island: 7 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $2,929 across 159 hospitalsCA$2,929Utah: median $1,789 across 27 hospitalsUT$1,789Colorado: median $2,416 across 46 hospitalsCO$2,416Nebraska: median $1,344 across 33 hospitalsNE$1,344Missouri: median $2,669 across 52 hospitalsMO$2,669Kentucky: median $1,722 across 29 hospitalsKY$1,722West Virginia: median $3,327 across 21 hospitalsWV$3,327Virginia: median $2,145 across 42 hospitalsVA$2,145Maryland: 7 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 6 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $3,425 across 34 hospitalsAZ$3,425New Mexico: median $2,768 across 11 hospitalsNM$2,768Kansas: median $2,003 across 28 hospitalsKS$2,003Arkansas: median $1,162 across 21 hospitalsAR$1,162Tennessee: median $768 across 46 hospitalsTN$768North Carolina: median $1,775 across 64 hospitalsNC$1,775South Carolina: median $2,194 across 40 hospitalsSC$2,194Oklahoma: median $520 across 26 hospitalsOK$520Louisiana: median $1,449 across 33 hospitalsLA$1,449Mississippi: median $900 across 37 hospitalsMS$900Alabama: median $3,356 across 30 hospitalsAL$3,356Georgia: median $3,413 across 67 hospitalsGA$3,413Hawaii: median $2,420 across 12 hospitalsHI$2,420Texas: median $2,615 across 152 hospitalsTX$2,615Florida: median $3,192 across 101 hospitalsFL$3,192
Cash price by state, most expensive first. National median $2,317. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
New Jersey NJ55$3,792+64%$3,168 – $5,741
New York NY86$3,626+56%$2,186 – $5,739
Arizona AZ34$3,425+48%$678 – $6,070
Georgia GA67$3,413+47%$2,000 – $6,479
Alabama AL30$3,356+45%$1,592 – $3,681
West Virginia WV21$3,327+44%$2,375 – $5,747
Pennsylvania PA100$3,269+41%$1,721 – $5,972
Connecticut CT21$3,226+39%$390 – $4,226
Florida FL101$3,192+38%$1,812 – $7,083
Ohio OH121$2,984+29%$1,930 – $5,015
California CA159$2,929+26%$1,492 – $5,598
Massachusetts MA36$2,854+23%$1,332 – $4,053
New Mexico NM11$2,768+19%$1,546 – $2,821
Missouri MO52$2,669+15%$1,526 – $4,837
Texas TX152$2,615+13%$1,023 – $3,952
Hawaii HI12$2,420+4%$202 – $5,977
Colorado CO46$2,416+4%$964 – $5,065
Washington WA49$2,297−1%$329 – $4,123
South Carolina SC40$2,194−5%$873 – $2,785
Idaho ID16$2,149−7%$1,215 – $7,765
Virginia VA42$2,145−7%$1,606 – $2,747
Michigan MI74$2,056−11%$150 – $3,994
Kansas KS28$2,003−14%$613 – $6,307
Iowa IA37$1,982−14%$360 – $3,071
Illinois IL88$1,982−14%$730 – $4,221
Oregon OR36$1,856−20%$268 – $7,006
Utah UT27$1,789−23%$1,521 – $1,789
North Carolina NC64$1,775−23%$1,204 – $2,800
Kentucky KY29$1,722−26%$253 – $3,623
Indiana IN68$1,623−30%$887 – $3,192
New Hampshire NH12$1,595−31%$766 – $2,726
Nevada NV11$1,548−33%$1,109 – $3,913
Louisiana LA33$1,449−37%$831 – $2,580
Nebraska NE33$1,344−42%$371 – $2,038
Minnesota MN60$1,263−45%$630 – $2,588
Arkansas AR21$1,162−50%$512 – $1,598
Mississippi MS37$900−61%$559 – $1,933
Wisconsin WI82$880−62%$468 – $2,388
Tennessee TN46$768−67%$599 – $1,394
Oklahoma OK26$520−78%$205 – $2,977
Montana MT13$270−88%$203 – $738
Alaska AK9not enough hospitals filed a usable price
Maine ME9not enough hospitals filed a usable price
South Dakota SD9not enough hospitals filed a usable price
North Dakota ND8not enough hospitals filed a usable price
Maryland MD7not enough hospitals filed a usable price
Rhode Island RI7not enough hospitals filed a usable price
Delaware DE6not enough hospitals filed a usable price
Wyoming WY6not enough hospitals filed a usable price
Vermont VT5not 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 $2,317.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,806$2,449$1,058 – $4,489
Children’s47$2,409$881 – $3,952
Critical access280$1,019$314 – $3,042
Ownership
For-profit206$2,821$1,204 – $5,598
Government293$2,053$759 – $3,681
Non-profit1,634$2,284$814 – $4,316
System affiliation
Part of a system1,823$2,337$880 – $4,350
Independent319$2,273$539 – $3,904

Cash price vs list price

Median list price (chargemaster)$3,976
Median cash price$2,317
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

1,626 hospitals filed a usable inpatient cash price for this code. The median is $2,262 and the average of the middle 60% is $2,345; most fall between $880 and $4,466.

Cash price percentiles, inpatient, across 1,626 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
$468$1,135$2,262$3,728$6,318

The most expensive tenth of hospitals charges at least 13× what the cheapest tenth charges ($468 vs $6,318).

Of the 1,764 hospitals that filed this code inpatient, 1,626 gave a usable cash price; 59 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 79 a list price only.

How complete is this

2,142 of the 3,956 hospitals with a price file in our corpus (54%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 2,357 hospitals that filed this code at all gave us
Usable cash price — counted2,142
Cash price carrying a plausibility flag — shown on the compare tool, excluded here128
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded5
A list price only, no cash figure — excluded82
Hospitals that filed this code2,357

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 & 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 biopsy and aspiration together (CPT 38222) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-38222-bone-marrow-biopsy-and-aspiration-together