CPT 20604 Surgery - Musculoskeletal

Drain/inj joint/bursa w/us Cost

Body System: Musculoskeletal

Medicare Facility Rate

$40

CMS PFS CY2026

Medicare Non-Facility Rate

$87

Office/clinic setting

Hospital Outpatient

$314

OPPS rate

Surgery Center (ASC)

$55

ASC rate

Relative Value Units (RVUs)

Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)

0.87

Work RVU

0.21

Facility PE RVU

0.11

Malpractice RVU

2.61

Total RVU

Frequently Asked Questions

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

The Medicare facility rate is $40. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $314. Ambulatory surgery center rate: $55.

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

Without insurance, you may pay the hospital's chargemaster rate, which is often 300-500% of Medicare. Ask about cash-pay discounts — many facilities offer 20-40% off for self-pay patients. The Medicare baseline for this procedure is $40.