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Procedure price report · Other therapeutic procedures, hemic and lymphatic system

Unlisted procedure on the blood or lymph system

CPT 38999the billing code this page is about

Used for a procedure of the spleen, bone marrow or lymph system that has no specific code of its own; the hospital record describes what was actually done.

Hospitals typically charge $857 cash for this outpatient procedure — the median across 888 hospitals that filed a usable cash price; the average of the middle 60% is $1,020. Most fall between $473 and $2,316 (20th–80th percentile).

Hospitals
888
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 888 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
$329$505$857$1,809$5,223

The most expensive tenth of hospitals charges at least 16× what the cheapest tenth charges ($329 vs $5,223).

How the prices are spread

$231 – $338: 50 hospitals$231$338 – $496: 107 hospitals$496 – $726: 186 hospitals$496$726 – $1,064: 134 hospitals$1,064 – $1,558: 105 hospitals$1,064$1,558 – $2,283: 80 hospitals$2,283 – $3,344: 62 hospitals$2,283$3,344 – $4,899: 28 hospitals$4,899 – $7,176: 32 hospitals$4,899$7,176 – $10,511: 18 hospitals$7,176median $857price bands are equal on a log scale
Hospitals per price band (802 of 888 — the bands cover the 5th to 95th percentile)
FromToHospitals
$231$33850
$338$496107
$496$726186
$726$1,064134
$1,064$1,558105
$1,558$2,28380
$2,283$3,34462
$3,344$4,89928
$4,899$7,17632
$7,176$10,51118

Against Medicare

Medicare pays (OPPS 2026, national rate)$451
Median cash price$857
Cash as a multiple of Medicare1.90×

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 $857.

Alaska: 1 hospital filed a usable price — fewer than 10, so no figureAKMaine: 2 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 1 hospital filed a usable price — fewer than 10, so no figureVTNew Hampshire: 2 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $613 across 33 hospitalsWA$613Idaho: 8 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 4 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 5 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $1,738 across 20 hospitalsMN$1,738Illinois: median $1,645 across 35 hospitalsIL$1,645Wisconsin: median $1,645 across 45 hospitalsWI$1,645Michigan: median $1,288 across 44 hospitalsMI$1,288New York: median $524 across 41 hospitalsNY$524Massachusetts: median $1,027 across 21 hospitalsMA$1,027Oregon: median $718 across 17 hospitalsOR$718Nevada: 3 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 2 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 7 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $634 across 15 hospitalsIA$634Indiana: 8 hospitals filed a usable price — fewer than 10, so no figureINOhio: median $503 across 46 hospitalsOH$503Pennsylvania: median $785 across 51 hospitalsPA$785New Jersey: median $3,175 across 37 hospitalsNJ$3,175Connecticut: 9 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 1 hospital filed a usable price — fewer than 10, so no figureRICalifornia: median $1,081 across 62 hospitalsCA$1,081Utah: median $1,057 across 23 hospitalsUT$1,057Colorado: median $1,290 across 19 hospitalsCO$1,290Nebraska: median $482 across 11 hospitalsNE$482Missouri: median $807 across 19 hospitalsMO$807Kentucky: median $1,755 across 15 hospitalsKY$1,755West Virginia: 9 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: median $696 across 26 hospitalsVA$696Maryland: 4 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 4 hospitals filed a usable price — fewer than 10, so no figureDEArizona: 6 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 5 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 6 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 5 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $223 across 11 hospitalsTN$223North Carolina: median $509 across 20 hospitalsNC$509South Carolina: median $672 across 21 hospitalsSC$672Oklahoma: 6 hospitals filed a usable price — fewer than 10, so no figureOKLouisiana: median $395 across 13 hospitalsLA$395Mississippi: 5 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 7 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $1,949 across 17 hospitalsGA$1,949Hawaii: 2 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $524 across 67 hospitalsTX$524Florida: median $1,004 across 47 hospitalsFL$1,004
Cash price by state, most expensive first. National median $857. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
New Jersey NJ37$3,175+271%$484 – $5,339
Georgia GA17$1,949+127%$1,949 – $6,310
Kentucky KY15$1,755+105%$542 – $5,376
Minnesota MN20$1,738+103%$617 – $10,511
Illinois IL35$1,645+92%$322 – $19,006
Wisconsin WI45$1,645+92%$793 – $2,316
Colorado CO19$1,290+51%$950 – $2,275
Michigan MI44$1,288+50%$505 – $16,786
California CA62$1,081+26%$714 – $1,980
Utah UT23$1,057+23%$1,057 – $1,174
Massachusetts MA21$1,027+20%$390 – $1,411
Florida FL47$1,004+17%$505 – $3,019
Missouri MO19$807−6%$386 – $1,434
Pennsylvania PA51$785−8%$521 – $1,622
Oregon OR17$718−16%$592 – $1,158
Virginia VA26$696−19%$672 – $860
South Carolina SC21$672−22%$672 – $2,410
Iowa IA15$634−26%$276 – $860
Washington WA33$613−28%$334 – $1,034
Texas TX67$524−39%$449 – $1,809
New York NY41$524−39%$451 – $1,800
North Carolina NC20$509−41%$313 – $1,202
Ohio OH46$503−41%$304 – $883
Nebraska NE11$482−44%$51 – $1,135
Louisiana LA13$395−54%$197 – $5,061
Tennessee TN11$223−74%$200 – $552
Connecticut CT9not enough hospitals filed a usable price
West Virginia WV9not enough hospitals filed a usable price
Idaho ID8not enough hospitals filed a usable price
Indiana IN8not enough hospitals filed a usable price
Alabama AL7not enough hospitals filed a usable price
South Dakota SD7not enough hospitals filed a usable price
Arizona AZ6not enough hospitals filed a usable price
Kansas KS6not enough hospitals filed a usable price
Oklahoma OK6not enough hospitals filed a usable price
Arkansas AR5not enough hospitals filed a usable price
Mississippi MS5not enough hospitals filed a usable price
North Dakota ND5not enough hospitals filed a usable price
New Mexico NM5not enough hospitals filed a usable price
Delaware DE4not enough hospitals filed a usable price
Maryland MD4not enough hospitals filed a usable price
Montana MT4not enough hospitals filed a usable price
Nevada NV3not enough hospitals filed a usable price
Hawaii HI2not enough hospitals filed a usable price
Maine ME2not enough hospitals filed a usable price
New Hampshire NH2not enough hospitals filed a usable price
Wyoming WY2not enough hospitals filed a usable price
Alaska AK1not enough hospitals filed a usable price
Rhode Island RI1not enough hospitals filed a usable price
Vermont VT1not 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 $857.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care770$827$469 – $2,114
Children’s21$1,434$587 – $2,714
Critical access90$962$476 – $2,410
Ownership
For-profit79$714$449 – $1,949
Government94$641$433 – $2,361
Non-profit708$860$478 – $2,316
System affiliation
Part of a system797$858$473 – $2,316
Independent91$788$441 – $2,380

Cash price vs list price

Median list price (chargemaster)$1,467
Median cash price$857
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

646 hospitals filed a usable inpatient cash price for this code. The median is $899 and the average of the middle 60% is $991; most fall between $473 and $1,949.

Cash price percentiles, inpatient, across 646 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
$322$505$899$1,758$2,889

The most expensive tenth of hospitals charges at least 9.0× what the cheapest tenth charges ($322 vs $2,889).

Of the 681 hospitals that filed this code inpatient, 646 gave a usable cash price; 12 carried a plausibility flag, 1 filed a number their own filing marks as not a price, 0 gave an estimate, and 22 a list price only.

How complete is this

888 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 935 hospitals that filed this code at all gave us
Usable cash price — counted888
Cash price carrying a plausibility flag — shown on the compare tool, excluded here20
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded2
An estimate rather than a filed cash price — excluded1
A list price only, no cash figure — excluded24
Hospitals that filed this code935

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 therapeutic procedures, hemic and lymphatic system family.

Hospitals file this code under descriptions such as PR Ablation, Percut, Radiofrequeny, Retroperitoneal Lymph Node C/T 50592.

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, “Unlisted procedure on the blood or lymph system (CPT 38999) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-38999-unlisted-procedure-on-the-blood-or-lymph-system