20606

Aspiration and/or injection of fluid from medium joint using ultrasound guidance

Medicare pricing data for 8,851 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 using ultrasound guidance (HCPCS code 20606) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $84.14, but hospitals typically charge $322.34 — a 3.8x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$16.83

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $84.14, your out-of-pocket cost would be approximately $16.83. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$84.14
Average Hospital Charge
$322.34
Markup Ratio
3.8x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$322.34
Medicare Allowed$84.14
Medicare Payment$63.46

Hospitals charge 3.8x more than what Medicare allows for this procedure. Medicare actually pays $63.46 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$105$61721119+24.9%
District of Columbia$103$2691544+22.8%
New Jersey$97$4782932,037+14.9%
New York$95$4686104,009+12.3%
California$93$3118306,041+10.1%
Connecticut$92$37885342+9.1%
Delaware$90$25726311+7.4%
Florida$90$2486298,363+6.7%
Nevada$86$37883650+2.7%
Massachusetts$86$4662241,230+2.2%
Puerto Rico$86$921642+1.7%
Colorado$85$323207829+1.5%
New Mexico$84$18744254+0.4%
Virginia$84$2942351,585+0.0%
Illinois$84$3333842,034-0.4%
Maryland$84$2161841,198-0.6%
Washington$83$262202931-0.8%
Pennsylvania$83$3084042,169-1.3%
Georgia$83$308187826-1.4%
Oregon$82$257134531-2.0%
Louisiana$82$26175431-2.2%
Michigan$82$2393091,564-2.4%
North Carolina$82$2752191,124-2.6%
Texas$82$3735503,062-3.0%
Rhode Island$81$28143280-3.2%
South Carolina$81$2931481,086-4.0%
Arizona$79$2962612,176-5.7%
Mississippi$79$40254683-5.8%
Indiana$77$274172760-8.1%
Oklahoma$77$18057418-8.8%
Hawaii$77$1953074-8.9%
Montana$76$24225201-9.2%
New Hampshire$76$34956380-9.8%
Alabama$75$182118523-10.4%
Arkansas$75$23455368-10.8%
Tennessee$75$2641751,111-11.0%
Maine$75$22048161-11.4%
Missouri$75$321143767-11.4%
Ohio$74$2912921,689-12.0%
Kentucky$73$22491325-12.9%
Kansas$73$29681424-13.0%
Minnesota$73$5102761,305-13.7%
Wisconsin$72$5692301,106-14.9%
Utah$71$239124565-15.1%
Nebraska$70$23246182-16.5%
Wyoming$68$37821102-18.8%
Iowa$68$37981420-19.6%
Idaho$68$22399540-19.7%
South Dakota$67$28354354-20.4%
West Virginia$60$24530140-28.2%
Vermont$56$18021124-33.5%
North Dakota$55$34417102-34.5%

⚠️ 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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