Biopsy and aspiration of bone marrow sample for diagnosis
Medicare pricing data for 12,928 providers across 52 states
This procedure has a 6.3x markup — hospitals charge $620.73 but Medicare allows only $99.21. Uninsured patients may face bills 6.3 times higher than what insurance negotiates. Prices vary significantly by location — from $65 in Idaho to $229 in Arizona. Where you get this procedure matters more than almost any other factor. Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.
💡 What You Should Know
Biopsy and aspiration of bone marrow sample for diagnosis (HCPCS code 38222) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $99.21, but hospitals typically charge $620.73 — a 6.3x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $99.21, your out-of-pocket cost would be approximately $19.84. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 6.3x more than what Medicare allows for this procedure. Medicare actually pays $77.13 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Arizona | $229 | $1,269 | 231 | 2,901 | +130.8% |
| Nebraska | $157 | $648 | 122 | 1,245 | +58.4% |
| Alaska | $156 | $1,208 | 28 | 203 | +57.4% |
| New Jersey | $128 | $582 | 384 | 2,424 | +28.9% |
| Kansas | $127 | $1,489 | 135 | 2,021 | +28.1% |
| Kentucky | $116 | $552 | 164 | 1,426 | +17.4% |
| Hawaii | $115 | $322 | 36 | 163 | +15.4% |
| Nevada | $112 | $611 | 116 | 941 | +12.6% |
| Arkansas | $109 | $612 | 104 | 3,175 | +10.3% |
| New York | $109 | $729 | 896 | 7,409 | +10.1% |
| Maryland | $106 | $379 | 201 | 2,335 | +7.2% |
| Puerto Rico | $106 | $1,057 | 31 | 105 | +6.6% |
| Texas | $105 | $738 | 890 | 11,591 | +5.7% |
| California | $105 | $571 | 1,108 | 11,251 | +5.6% |
| Missouri | $105 | $554 | 278 | 2,856 | +5.4% |
| Minnesota | $104 | $682 | 210 | 1,782 | +5.0% |
| Florida | $98 | $588 | 923 | 10,160 | -0.8% |
| Illinois | $98 | $521 | 587 | 5,017 | -1.1% |
| Delaware | $96 | $329 | 31 | 274 | -3.7% |
| Colorado | $94 | $1,735 | 258 | 2,249 | -5.1% |
| Connecticut | $93 | $675 | 215 | 1,271 | -5.9% |
| Virginia | $91 | $463 | 350 | 3,678 | -8.1% |
| Oregon | $90 | $475 | 198 | 1,443 | -9.8% |
| Washington | $89 | $403 | 305 | 2,465 | -10.0% |
| Louisiana | $89 | $603 | 153 | 1,377 | -10.0% |
| Alabama | $87 | $400 | 173 | 1,166 | -12.0% |
| New Mexico | $87 | $437 | 73 | 447 | -12.1% |
| Tennessee | $86 | $479 | 259 | 3,247 | -13.2% |
| Wyoming | $85 | $522 | 23 | 110 | -14.1% |
| Indiana | $84 | $416 | 260 | 2,338 | -15.0% |
| Maine | $84 | $349 | 75 | 313 | -15.4% |
| Iowa | $83 | $621 | 140 | 1,319 | -16.1% |
| District of Columbia | $83 | $386 | 36 | 372 | -16.7% |
| Michigan | $83 | $314 | 356 | 2,808 | -16.8% |
| Utah | $83 | $403 | 126 | 872 | -16.8% |
| Georgia | $82 | $689 | 362 | 4,121 | -17.2% |
| Massachusetts | $81 | $442 | 331 | 2,205 | -17.9% |
| Pennsylvania | $81 | $369 | 670 | 4,826 | -18.0% |
| Rhode Island | $81 | $399 | 44 | 157 | -18.0% |
| South Carolina | $81 | $485 | 188 | 1,914 | -18.3% |
| Ohio | $80 | $471 | 520 | 4,162 | -18.9% |
| New Hampshire | $80 | $695 | 79 | 518 | -19.0% |
| Oklahoma | $80 | $395 | 104 | 1,437 | -19.2% |
| South Dakota | $80 | $312 | 35 | 556 | -19.3% |
| West Virginia | $80 | $291 | 72 | 588 | -19.7% |
| Montana | $76 | $857 | 44 | 376 | -23.0% |
| North Carolina | $74 | $499 | 519 | 3,830 | -25.2% |
| Wisconsin | $73 | $1,056 | 281 | 2,230 | -26.2% |
| Mississippi | $72 | $661 | 69 | 1,003 | -27.7% |
| North Dakota | $69 | $863 | 26 | 366 | -30.7% |
| Vermont | $67 | $418 | 21 | 266 | -33.0% |
| Idaho | $65 | $393 | 75 | 529 | -34.3% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber