CPT 20610 Surgery - Musculoskeletal

How Much Does Large Joint Injection (Knee, Hip, or Shoulder) Cost?

Also known as: Drain/inj joint/bursa w/o us (CPT 20610)

An injection of medication directly into a large joint to reduce pain and inflammation.

Large Joint Injection (Knee, Hip, or Shoulder) (CPT 20610) costs $40 at Medicare rates. Hospital outpatient rate: $314.

Cost Comparison by Payer

How much Drain/inj joint/bursa w/o us costs across different settings and payers

Medicare
Facility rate
$40
Hospital Outpatient
OPPS rate
$314
Surgery Center
ASC rate
$39
Medicare (Facility)
$40
CMS PFS 2026 national rate
Medicare (Office/Clinic)
$69
Non-facility setting
Hospital Outpatient
$314
OPPS rate
Surgery Center (ASC)
$39
Ambulatory surgery center

Patient Guide: Large Joint Injection (Knee, Hip, or Shoulder)

What you need to know before your appointment

What to Expect

The doctor cleans the area, may numb the skin, and injects corticosteroid or other medication directly into the joint. You may feel pressure during injection.

How Long Does It Take?

5-15 minutes

Common Reasons Doctors Order This

Knee arthritis, shoulder bursitis, hip pain, joint inflammation, gout flare

How to Prepare

No special fasting required. Tell your doctor about blood thinners. Wear clothing that allows easy access to the joint.

Procedures Commonly Done Together

These procedures are frequently performed alongside Drain/inj joint/bursa w/o us

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Drain/inj joint/bursa w/o us Cost by Location

Medicare-adjusted rates across CMS localities

Location Medicare Rate Est. Commercial
AK — ALASKA $52 $107 — $165
AL — ALABAMA $37 $81 — $125
AR — ARKANSAS $36 $80 — $123
AZ — ARIZONA $39 $88 — $135
CA — BAKERSFIELD $40 $93 — $143
CA — CHICO $39 $93 — $143
CA — EL CENTRO $39 $93 — $143
CA — FRESNO $39 $93 — $143
CA — HANFORD-CORCORAN $39 $93 — $143
CA — LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) $41 $99 — $152
CA — MADERA $39 $93 — $143
CA — MERCED $39 $93 — $143
CA — MODESTO $39 $93 — $143
CA — NAPA $43 $105 — $162
CA — OXNARD-THOUSAND OAKS-VENTURA $41 $98 — $151
CA — REDDING $39 $93 — $143
CA — REST OF CALIFORNIA $39 $93 — $143
CA — RIVERSIDE-SAN BERNARDINO-ONTARIO $41 $95 — $145
CA — SACRAMENTO-ROSEVILLE-FOLSOM $40 $97 — $149
CA — SALINAS $40 $96 — $148
CA — SAN DIEGO-CHULA VISTA-CARLSBAD $41 $98 — $151
CA — SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY) $44 $111 — $170
CA — SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY) $44 $111 — $170
CA — SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY) $45 $113 — $174
CA — SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY) $44 $113 — $173

What Insurance Companies Actually Pay

Real negotiated rates from 16 hospitals across 6 states (from hospital price transparency filings)

Lowest
$1
Highest
$5,841
Average
$1,356
Insurance Company Avg Rate Range Hospitals
Aetna $2,035 $187 - $4,833 11
United $1,229 $30 - $2,749 10
Cigna $2,138 $277 - $5,160 10
Humana $2,269 $35 - $4,690 8
BCBS $255 $29 - $444 5
KAISER FOUNDATION HEALTH PLAN, INC. $616 $357 - $1,117 5
BCBS-TX $43 $23 - $60 3
Superior Health Plan $902 $444 - $948 3
Wellpoint $154 $28 - $444 2
CHC $1,223 $23 - $2,709 2
Multiplan $670 $475 - $930 5
Anthem $3,592 $2,125 - $4,764 2
Average by State
KY: $499 (23) CA: $616 (15) TN: $697 (25) GA: $704 (31) TX: $1,484 (252) CO: $2,394 (34)
Disclaimer: These rates are from hospital Machine-Readable Files (MRFs) required by federal price transparency law. They reflect specific hospital-payer contracts and may not represent your actual cost, which depends on your plan, deductible, and network status. Data sourced from CommonSpirit Health, HCA Healthcare, and Kaiser Permanente filings.

How to Reduce Your Cost for Drain/inj joint/bursa w/o us

Practical tips that can save you hundreds or thousands of dollars

  • 1
    Ask about cash-pay discounts

    Many hospitals and clinics offer 20-40% discounts for self-pay patients. Always ask before scheduling.

  • 2
    Compare facility vs. office setting costs

    For this procedure, the office rate ($69) differs from the facility rate ($40). Ask if it can be done in an office setting.

  • 3
    Shop around — costs vary significantly

    Medicare rates for this procedure range from $36 to $52 depending on location. Commercial rates vary even more.

  • 4
    Check ambulatory surgery centers (ASCs)

    This procedure is available at ASCs for $39, compared to $314 at hospital outpatient departments. ASCs often offer lower costs with comparable quality.

How is the Price Calculated?

Medicare calculates procedure payments using Relative Value Units (RVUs). Each procedure has three components multiplied by a conversion factor ($33.40 in 2026) and adjusted by geographic cost indices.

0.77
Work RVU
0.29
Practice Expense RVU
0.13
Malpractice RVU
2.06
Total RVU

Payment = Total RVU (2.06) x CF ($33.40) = $69

Frequently Asked Questions

How much does Drain/inj joint/bursa w/o us cost?

The Medicare facility rate for Drain/inj joint/bursa w/o us is $40. In a hospital outpatient setting, the rate is $314. At an ambulatory surgery center, the rate is $39. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).

How much does Drain/inj joint/bursa w/o us cost without insurance?

Without insurance, the cost of Drain/inj joint/bursa w/o us can range from 150% of Medicare to 500% of Medicare depending on the facility. Many hospitals and clinics offer self-pay discounts of 20-40% off their chargemaster price. Always ask about cash pricing before your visit.

Does insurance cover Drain/inj joint/bursa w/o us?

Most commercial health insurance plans and Medicare cover Drain/inj joint/bursa w/o us when ordered by a physician for a medically necessary reason. Your out-of-pocket cost depends on your plan's deductible, copay/coinsurance structure, and whether you use an in-network provider. Check with your insurance company before scheduling to confirm coverage and get a cost estimate.

Why does the cost vary so much by location?

Medicare adjusts payments using Geographic Practice Cost Indices (GPCIs) that reflect local differences in physician work costs, practice expenses, and malpractice insurance. Manhattan, San Francisco, and other high-cost areas pay significantly more than rural regions. Commercial insurers follow similar geographic patterns.

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