20551

Injection into tendon at attachment to bone or muscle

Medicare pricing data for 16,985 providers across 52 states

🤖AI Overview

Prices vary significantly by location — from $31 in Arizona to $62 in Alaska. 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

Injection into tendon at attachment to bone or muscle (HCPCS code 20551) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $45.40, but hospitals typically charge $169.06 — a 3.7x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$9.08

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $45.40, your out-of-pocket cost would be approximately $9.08. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$45.40
Average Hospital Charge
$169.06
Markup Ratio
3.7x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$169.06
Medicare Allowed$45.40
Medicare Payment$34.07

Hospitals charge 3.7x more than what Medicare allows for this procedure. Medicare actually pays $34.07 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$62$38232132+37.3%
New Jersey$57$2386304,627+24.7%
Puerto Rico$56$621431+24.1%
New York$55$2329696,822+21.9%
Hawaii$55$11939176+20.4%
Rhode Island$54$19845169+18.0%
Massachusetts$53$2283862,211+17.4%
California$51$1801,2508,388+13.4%
Wyoming$51$2432959+13.1%
Washington$51$1613031,074+12.6%
Delaware$51$188581,164+12.4%
Connecticut$51$221194643+11.9%
Florida$50$1761,26810,981+9.9%
Michigan$50$1284982,627+9.1%
Illinois$49$1906393,573+8.1%
Virginia$49$1874553,297+7.0%
Pennsylvania$48$1689876,792+6.3%
Oregon$48$177176585+5.9%
Nevada$48$256150792+5.5%
Ohio$48$1535972,352+5.0%
Alabama$47$1222521,186+4.4%
Missouri$47$1803251,513+4.1%
Louisiana$47$1762581,503+2.7%
District of Columbia$46$1792373+2.4%
Texas$46$1941,2016,892+1.4%
Colorado$46$1762981,508+1.4%
Wisconsin$46$348303748+1.2%
Tennessee$46$1835252,241+0.3%
Indiana$45$1934181,557-0.6%
West Virginia$45$153100683-1.5%
Iowa$45$203142421-1.8%
Montana$44$15875260-2.4%
Nebraska$44$167132521-2.5%
Utah$44$132195871-2.5%
Kansas$44$199175597-3.2%
Arkansas$44$1541891,180-3.7%
Georgia$44$1504895,068-3.7%
Idaho$43$145108330-6.2%
Mississippi$43$190124563-6.2%
Maryland$42$1223776,488-6.8%
South Dakota$42$20471186-7.8%
Maine$41$12864258-9.0%
Kentucky$41$1892003,481-9.5%
Minnesota$41$173208766-10.3%
New Hampshire$40$21892339-11.0%
Oklahoma$40$1192272,572-12.8%
South Carolina$39$1713712,331-13.7%
North Dakota$39$21155152-14.9%
Vermont$38$801653-15.5%
North Carolina$38$1096748,465-16.7%
New Mexico$34$77779392-25.7%
Arizona$31$10546712,345-31.4%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

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💊 Need post-procedure medications? Check costs on OpenPrescriber