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See a sample rate comparisonCPT 38230 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Bone Marrow Collection, Collection Of Bone Marrow For Transplantation. The Bone Marrow May Be Collected From A Donor Or From A Site In The Recipients Body.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Hemic and Lymphatic Systems |
| Common Place of Service | 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital |
| Common Modifiers | LT - Left side of body RT - Right side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $174.02 national non-facility rate (2026) · View Medicare rates for 38230 |
| Medicaid Fee Schedule | $150.205 median of the 8 states in the free preview · View Medicaid rates for 38230 |
National average reimbursement for CPT 38230 by major payers:
$292.35
$311.02
$314.72
$358.32
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CPT 38230
5 of 25 sample ratesHigher to lower in this preview
Memorial Hermann Surgery Center Memorial City LLC, Memorial Hermann Memorial Village Surgery Center
$2,480.00Published rateThe Endoscopy Center At Gateway LLC
$1,276.00Published rateWinchester Eye Surgery Center, LLC
$800.00Published rateAesthetic Surgery Center Of Eugene Inc
$517.00Published rateAllegany Ambulatory Surgery Center LLC
$281.00Published rate
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See a sample payer proposalCPT 38230 vs. Other Surgical Procedures on the Hemic and Lymphatic Systems Codes
The CPT 38230 code is part of the Surgery services used for Surgical Procedures on the Hemic and Lymphatic Systems. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 38230 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 38208-CPT | Low | Transplant Preparation Of Hema, Transplant Preparation Of Hematopoietic Progenitorcells Thawing Of Previously Frozen Harvest With Out Washing Per Donor |
| 38209-CPT | Low | Transplant Preparation Of Hema, Transplant Preparation Of Hematopoietic Progenitorcells Thawing Of Previously Frozen Harvest With Washing Per Donor |
| 38210-CPT | Low | Stem Cell Preparation, Before A Transplant Certain Types Of Cells May Be Isolated Or Removed From Blood Containing Stem Cells. Types Can Include T-Cells Red Blood Cells Platelets Or Plasma. |
| 38230-CPT | Moderate | Bone Marrow Collection, Collection Of Bone Marrow For Transplantation. The Bone Marrow May Be Collected From A Donor Or From A Site In The Recipients Body. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 38230. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 38230 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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