20605

Aspiration and/or injection of fluid from medium joint

Medicare pricing data for 53,181 providers across 52 states

🤖AI Overview

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

Aspiration and/or injection of fluid from medium joint (HCPCS code 20605) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $50.25, but hospitals typically charge $195.65 — a 3.9x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$10.05

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $50.25, your out-of-pocket cost would be approximately $10.05. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$50.25
Average Hospital Charge
$195.65
Markup Ratio
3.9x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$195.65
Medicare Allowed$50.25
Medicare Payment$37.27

Hospitals charge 3.9x more than what Medicare allows for this procedure. Medicare actually pays $37.27 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
New York$58$2352,61119,038+15.6%
Alaska$58$311174632+15.2%
New Jersey$57$2671,53912,652+13.8%
Connecticut$56$2325533,619+11.6%
District of Columbia$56$198104533+11.0%
Maryland$55$1681,0157,728+10.1%
Massachusetts$53$2131,2658,552+5.5%
Illinois$52$2192,08014,246+4.2%
Delaware$52$2111921,757+4.1%
Puerto Rico$52$6772344+4.1%
California$52$1934,34434,409+4.0%
Rhode Island$52$1882081,242+3.5%
Pennsylvania$52$1632,79919,453+3.3%
Colorado$52$2161,0304,882+3.2%
Florida$51$1743,58633,530+2.4%
Michigan$51$1371,78313,220+2.2%
Hawaii$51$147108709+1.1%
Virginia$51$1731,46411,233+1.1%
Washington$50$1781,1685,508+0.0%
New Mexico$49$1733564,029-1.8%
Nevada$49$2524332,857-2.0%
Texas$49$2383,42822,049-2.1%
New Hampshire$49$2222941,781-2.1%
Arizona$49$1681,2488,845-2.8%
Georgia$48$2091,54010,312-3.6%
Oregon$48$1816373,126-4.0%
Montana$48$1382611,456-4.2%
North Carolina$48$1811,98611,210-4.9%
South Carolina$48$1601,0389,201-5.2%
Wyoming$47$205168796-5.6%
Louisiana$47$1897624,640-5.7%
Indiana$47$2081,2458,405-6.2%
Kansas$47$2195883,851-6.3%
West Virginia$47$1702901,960-6.3%
Minnesota$47$2201,0024,681-6.8%
Alabama$47$1307103,816-6.9%
Utah$47$1616993,192-7.4%
Ohio$46$1802,13212,334-8.2%
Iowa$46$2196244,140-8.5%
Tennessee$46$1711,2387,483-8.9%
Kentucky$46$1697825,171-9.1%
Arkansas$45$1385533,476-9.5%
Missouri$45$2541,0786,195-9.7%
Wisconsin$45$3761,0644,427-10.5%
Oklahoma$45$1377174,413-10.6%
Nebraska$44$2015093,191-12.1%
Mississippi$44$2134463,288-13.1%
Maine$43$135222649-14.6%
South Dakota$43$1882561,477-15.1%
Idaho$42$1474371,751-16.0%
North Dakota$41$2082121,390-18.3%
Vermont$37$168111521-27.3%

⚠️ 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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