CPT 20611 Surgery - Musculoskeletal
Drain/inj joint/bursa w/us Cost
Body System: Musculoskeletal
Medicare Facility Rate
$50
CMS PFS CY2026
Medicare Non-Facility Rate
$104
Office/clinic setting
Hospital Outpatient
$314
OPPS rate
Surgery Center (ASC)
$64
ASC rate
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
1.07
Work RVU
0.29
Facility PE RVU
0.14
Malpractice RVU
3.12
Total RVU
Cost by Location
| Location | Medicare Rate | Est. Commercial |
|---|---|---|
| AK — ALASKA | $67 | $162 — $250 |
| AL — ALABAMA | $47 | $123 — $189 |
| AR — ARKANSAS | $47 | $121 — $187 |
| AZ — ARIZONA | $49 | $133 — $204 |
| CA — BAKERSFIELD | $50 | $143 — $219 |
| CA — CHICO | $50 | $142 — $219 |
| CA — EL CENTRO | $50 | $142 — $219 |
| CA — FRESNO | $50 | $142 — $219 |
| CA — HANFORD-CORCORAN | $50 | $142 — $219 |
| CA — LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) | $52 | $151 — $233 |
| CA — MADERA | $50 | $142 — $219 |
| CA — MERCED | $50 | $142 — $219 |
| CA — MODESTO | $50 | $142 — $219 |
| CA — NAPA | $53 | $163 — $250 |
| CA — OXNARD-THOUSAND OAKS-VENTURA | $51 | $150 — $231 |
| CA — REDDING | $50 | $142 — $219 |
| CA — REST OF CALIFORNIA | $50 | $142 — $219 |
| CA — RIVERSIDE-SAN BERNARDINO-ONTARIO | $51 | $144 — $222 |
| CA — SACRAMENTO-ROSEVILLE-FOLSOM | $51 | $149 — $229 |
| CA — SALINAS | $51 | $148 — $228 |
Frequently Asked Questions
How much does Drain/inj joint/bursa w/us cost?
The Medicare facility rate is $50. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $314. Ambulatory surgery center rate: $64.
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 $50.