Aspiration and/or injection of fluid from medium joint
Medicare pricing data for 53,181 providers across 52 states
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
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.
What Hospitals Charge vs. What Medicare Pays
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
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| New York | $58 | $235 | 2,611 | 19,038 | +15.6% |
| Alaska | $58 | $311 | 174 | 632 | +15.2% |
| New Jersey | $57 | $267 | 1,539 | 12,652 | +13.8% |
| Connecticut | $56 | $232 | 553 | 3,619 | +11.6% |
| District of Columbia | $56 | $198 | 104 | 533 | +11.0% |
| Maryland | $55 | $168 | 1,015 | 7,728 | +10.1% |
| Massachusetts | $53 | $213 | 1,265 | 8,552 | +5.5% |
| Illinois | $52 | $219 | 2,080 | 14,246 | +4.2% |
| Delaware | $52 | $211 | 192 | 1,757 | +4.1% |
| Puerto Rico | $52 | $67 | 72 | 344 | +4.1% |
| California | $52 | $193 | 4,344 | 34,409 | +4.0% |
| Rhode Island | $52 | $188 | 208 | 1,242 | +3.5% |
| Pennsylvania | $52 | $163 | 2,799 | 19,453 | +3.3% |
| Colorado | $52 | $216 | 1,030 | 4,882 | +3.2% |
| Florida | $51 | $174 | 3,586 | 33,530 | +2.4% |
| Michigan | $51 | $137 | 1,783 | 13,220 | +2.2% |
| Hawaii | $51 | $147 | 108 | 709 | +1.1% |
| Virginia | $51 | $173 | 1,464 | 11,233 | +1.1% |
| Washington | $50 | $178 | 1,168 | 5,508 | +0.0% |
| New Mexico | $49 | $173 | 356 | 4,029 | -1.8% |
| Nevada | $49 | $252 | 433 | 2,857 | -2.0% |
| Texas | $49 | $238 | 3,428 | 22,049 | -2.1% |
| New Hampshire | $49 | $222 | 294 | 1,781 | -2.1% |
| Arizona | $49 | $168 | 1,248 | 8,845 | -2.8% |
| Georgia | $48 | $209 | 1,540 | 10,312 | -3.6% |
| Oregon | $48 | $181 | 637 | 3,126 | -4.0% |
| Montana | $48 | $138 | 261 | 1,456 | -4.2% |
| North Carolina | $48 | $181 | 1,986 | 11,210 | -4.9% |
| South Carolina | $48 | $160 | 1,038 | 9,201 | -5.2% |
| Wyoming | $47 | $205 | 168 | 796 | -5.6% |
| Louisiana | $47 | $189 | 762 | 4,640 | -5.7% |
| Indiana | $47 | $208 | 1,245 | 8,405 | -6.2% |
| Kansas | $47 | $219 | 588 | 3,851 | -6.3% |
| West Virginia | $47 | $170 | 290 | 1,960 | -6.3% |
| Minnesota | $47 | $220 | 1,002 | 4,681 | -6.8% |
| Alabama | $47 | $130 | 710 | 3,816 | -6.9% |
| Utah | $47 | $161 | 699 | 3,192 | -7.4% |
| Ohio | $46 | $180 | 2,132 | 12,334 | -8.2% |
| Iowa | $46 | $219 | 624 | 4,140 | -8.5% |
| Tennessee | $46 | $171 | 1,238 | 7,483 | -8.9% |
| Kentucky | $46 | $169 | 782 | 5,171 | -9.1% |
| Arkansas | $45 | $138 | 553 | 3,476 | -9.5% |
| Missouri | $45 | $254 | 1,078 | 6,195 | -9.7% |
| Wisconsin | $45 | $376 | 1,064 | 4,427 | -10.5% |
| Oklahoma | $45 | $137 | 717 | 4,413 | -10.6% |
| Nebraska | $44 | $201 | 509 | 3,191 | -12.1% |
| Mississippi | $44 | $213 | 446 | 3,288 | -13.1% |
| Maine | $43 | $135 | 222 | 649 | -14.6% |
| South Dakota | $43 | $188 | 256 | 1,477 | -15.1% |
| Idaho | $42 | $147 | 437 | 1,751 | -16.0% |
| North Dakota | $41 | $208 | 212 | 1,390 | -18.3% |
| Vermont | $37 | $168 | 111 | 521 | -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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