Injection of trigger points, 1-2 muscles
Medicare pricing data for 29,700 providers across 52 states
This procedure has a 5.2x markup — hospitals charge $234.75 but Medicare allows only $45.35. Uninsured patients may face bills 5.2 times higher than what insurance negotiates. 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 of trigger points, 1-2 muscles (HCPCS code 20552) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $45.35, but hospitals typically charge $234.75 — a 5.2x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $45.35, your out-of-pocket cost would be approximately $9.07. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 5.2x more than what Medicare allows for this procedure. Medicare actually pays $34.28 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $57 | $430 | 89 | 432 | +24.6% |
| New York | $55 | $277 | 1,379 | 20,820 | +20.8% |
| New Jersey | $53 | $461 | 775 | 9,111 | +16.0% |
| Connecticut | $51 | $220 | 240 | 2,863 | +13.4% |
| District of Columbia | $50 | $154 | 44 | 161 | +10.9% |
| Puerto Rico | $50 | $58 | 50 | 228 | +9.7% |
| Delaware | $48 | $226 | 85 | 1,116 | +6.5% |
| California | $48 | $423 | 2,596 | 28,039 | +6.2% |
| Maryland | $48 | $200 | 520 | 5,286 | +5.3% |
| Florida | $47 | $196 | 2,386 | 29,268 | +4.3% |
| Hawaii | $46 | $129 | 47 | 206 | +1.3% |
| Nevada | $46 | $275 | 281 | 3,075 | +1.2% |
| Virginia | $45 | $172 | 956 | 11,659 | +0.1% |
| New Hampshire | $45 | $233 | 123 | 975 | -1.0% |
| Oregon | $45 | $179 | 321 | 1,509 | -1.1% |
| Illinois | $45 | $241 | 810 | 8,659 | -1.2% |
| Michigan | $45 | $169 | 671 | 4,796 | -1.2% |
| Colorado | $45 | $232 | 565 | 3,300 | -1.6% |
| Louisiana | $45 | $235 | 447 | 3,252 | -1.8% |
| Pennsylvania | $45 | $161 | 1,430 | 13,193 | -1.8% |
| Washington | $44 | $172 | 522 | 2,957 | -1.9% |
| Wyoming | $44 | $276 | 76 | 388 | -2.0% |
| Maine | $44 | $142 | 85 | 950 | -2.2% |
| Texas | $44 | $226 | 1,805 | 13,051 | -2.5% |
| South Carolina | $44 | $153 | 634 | 4,825 | -3.0% |
| Georgia | $44 | $257 | 1,235 | 13,466 | -3.7% |
| Oklahoma | $43 | $139 | 357 | 2,382 | -4.9% |
| Alabama | $43 | $119 | 645 | 6,969 | -5.0% |
| North Carolina | $43 | $179 | 1,534 | 12,988 | -5.4% |
| Utah | $43 | $137 | 381 | 1,900 | -5.5% |
| Tennessee | $43 | $155 | 974 | 8,042 | -6.3% |
| Arkansas | $42 | $128 | 345 | 4,407 | -6.6% |
| Arizona | $42 | $194 | 808 | 7,211 | -7.3% |
| Minnesota | $42 | $239 | 474 | 2,383 | -7.5% |
| Missouri | $42 | $282 | 483 | 3,620 | -7.7% |
| New Mexico | $42 | $144 | 261 | 946 | -7.8% |
| Indiana | $41 | $228 | 584 | 3,943 | -8.8% |
| Massachusetts | $41 | $202 | 543 | 5,915 | -9.0% |
| Kentucky | $41 | $182 | 456 | 3,161 | -9.7% |
| Ohio | $41 | $164 | 1,224 | 9,590 | -10.0% |
| Nebraska | $41 | $148 | 215 | 1,424 | -10.6% |
| Idaho | $40 | $155 | 218 | 1,133 | -11.1% |
| South Dakota | $40 | $200 | 159 | 1,753 | -12.8% |
| West Virginia | $39 | $129 | 179 | 1,553 | -13.7% |
| Wisconsin | $39 | $400 | 512 | 3,080 | -14.7% |
| Kansas | $39 | $256 | 316 | 2,816 | -15.0% |
| Rhode Island | $38 | $168 | 59 | 739 | -16.2% |
| Mississippi | $38 | $189 | 247 | 2,208 | -16.6% |
| Vermont | $37 | $183 | 28 | 149 | -18.8% |
| North Dakota | $36 | $186 | 97 | 403 | -20.5% |
| Montana | $36 | $118 | 141 | 741 | -21.4% |
| Iowa | $35 | $234 | 278 | 2,557 | -22.1% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber