Injection of trigger points, 3 or more muscles
Medicare pricing data for 19,004 providers across 52 states
This procedure has a 5.4x markup — hospitals charge $288.63 but Medicare allows only $53.29. Uninsured patients may face bills 5.4 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, 3 or more muscles (HCPCS code 20553) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $53.29, but hospitals typically charge $288.63 — a 5.4x 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 $53.29, your out-of-pocket cost would be approximately $10.66. 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 5.4x more than what Medicare allows for this procedure. Medicare actually pays $40.75 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $70 | $498 | 55 | 677 | +31.9% |
| New York | $64 | $400 | 1,409 | 39,273 | +20.5% |
| New Jersey | $62 | $738 | 599 | 11,144 | +16.5% |
| District of Columbia | $60 | $219 | 39 | 443 | +12.9% |
| Hawaii | $59 | $145 | 28 | 262 | +10.4% |
| California | $58 | $378 | 1,849 | 52,590 | +8.6% |
| Connecticut | $56 | $307 | 222 | 4,698 | +5.6% |
| Wyoming | $56 | $233 | 35 | 934 | +5.3% |
| Florida | $55 | $291 | 1,475 | 30,378 | +3.8% |
| Nevada | $55 | $281 | 226 | 6,859 | +3.3% |
| Maryland | $54 | $215 | 363 | 7,485 | +0.9% |
| Delaware | $54 | $234 | 66 | 828 | +0.6% |
| Illinois | $53 | $281 | 592 | 11,135 | -0.3% |
| Pennsylvania | $53 | $186 | 870 | 11,996 | -0.7% |
| Washington | $52 | $187 | 384 | 5,742 | -1.5% |
| Virginia | $52 | $220 | 465 | 8,768 | -2.1% |
| Oregon | $52 | $197 | 223 | 3,046 | -2.1% |
| Georgia | $52 | $291 | 563 | 4,601 | -3.2% |
| Rhode Island | $51 | $243 | 37 | 634 | -4.0% |
| Texas | $51 | $263 | 1,201 | 16,016 | -4.2% |
| Alabama | $51 | $163 | 225 | 2,084 | -4.3% |
| Utah | $51 | $202 | 278 | 3,806 | -4.4% |
| Arkansas | $51 | $142 | 173 | 1,715 | -4.8% |
| Colorado | $50 | $212 | 431 | 7,277 | -5.5% |
| Puerto Rico | $50 | $89 | 38 | 297 | -6.2% |
| Massachusetts | $50 | $217 | 489 | 10,183 | -6.7% |
| Kentucky | $49 | $174 | 281 | 4,665 | -7.9% |
| Arizona | $49 | $218 | 689 | 27,809 | -8.0% |
| North Carolina | $49 | $271 | 750 | 11,061 | -8.6% |
| Indiana | $49 | $166 | 274 | 2,875 | -8.8% |
| Tennessee | $48 | $164 | 406 | 4,539 | -9.7% |
| New Hampshire | $48 | $210 | 125 | 2,136 | -10.4% |
| Missouri | $47 | $235 | 296 | 4,860 | -11.0% |
| Louisiana | $47 | $225 | 226 | 3,187 | -11.4% |
| New Mexico | $47 | $149 | 185 | 1,807 | -11.5% |
| Nebraska | $47 | $181 | 134 | 3,025 | -12.2% |
| Ohio | $46 | $184 | 635 | 9,720 | -12.9% |
| South Carolina | $46 | $175 | 263 | 4,647 | -12.9% |
| Michigan | $46 | $194 | 473 | 6,506 | -13.0% |
| Kansas | $45 | $231 | 189 | 2,570 | -16.0% |
| Mississippi | $45 | $214 | 147 | 2,505 | -16.4% |
| South Dakota | $44 | $208 | 74 | 1,456 | -16.5% |
| Oklahoma | $44 | $163 | 205 | 2,141 | -16.6% |
| Maine | $44 | $138 | 74 | 1,077 | -16.8% |
| Minnesota | $44 | $261 | 351 | 5,016 | -17.9% |
| Wisconsin | $44 | $429 | 358 | 4,499 | -18.1% |
| West Virginia | $43 | $148 | 79 | 1,681 | -18.4% |
| Montana | $42 | $140 | 99 | 1,036 | -20.6% |
| Idaho | $41 | $171 | 133 | 1,423 | -22.5% |
| Iowa | $40 | $206 | 138 | 2,420 | -24.6% |
| Vermont | $38 | $169 | 23 | 160 | -28.8% |
| North Dakota | $37 | $261 | 48 | 1,055 | -30.2% |
⚠️ 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