Aspiration and/or injection of cyst of tendon
Medicare pricing data for 10,452 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 cyst of tendon (HCPCS code 20612) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $59.43, but hospitals typically charge $192.10 — a 3.2x 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 $59.43, your out-of-pocket cost would be approximately $11.89. 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 3.2x more than what Medicare allows for this procedure. Medicare actually pays $43.47 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $74 | $331 | 29 | 43 | +24.8% |
| District of Columbia | $72 | $198 | 15 | 39 | +21.3% |
| New Jersey | $68 | $261 | 424 | 1,148 | +14.5% |
| California | $66 | $193 | 836 | 2,417 | +11.7% |
| Connecticut | $66 | $240 | 126 | 315 | +11.2% |
| Maryland | $65 | $151 | 254 | 737 | +10.2% |
| Massachusetts | $63 | $209 | 290 | 747 | +6.7% |
| Hawaii | $63 | $126 | 23 | 91 | +6.3% |
| New York | $63 | $267 | 666 | 2,337 | +5.8% |
| Illinois | $61 | $207 | 371 | 846 | +2.5% |
| Nevada | $61 | $482 | 71 | 211 | +2.0% |
| Florida | $60 | $163 | 777 | 2,292 | +1.7% |
| Wyoming | $60 | $216 | 25 | 60 | +1.6% |
| Colorado | $60 | $185 | 190 | 327 | +0.5% |
| Delaware | $59 | $191 | 49 | 143 | +0.0% |
| Washington | $59 | $161 | 263 | 535 | 0.0% |
| Oregon | $59 | $175 | 119 | 256 | -0.1% |
| Michigan | $59 | $134 | 315 | 714 | -0.2% |
| Rhode Island | $59 | $175 | 43 | 89 | -1.3% |
| Pennsylvania | $59 | $157 | 567 | 1,341 | -1.5% |
| Georgia | $58 | $204 | 281 | 702 | -1.9% |
| Montana | $58 | $136 | 50 | 98 | -2.8% |
| New Hampshire | $58 | $231 | 67 | 159 | -2.9% |
| Virginia | $58 | $180 | 346 | 906 | -3.0% |
| North Carolina | $57 | $168 | 404 | 909 | -4.5% |
| Texas | $57 | $184 | 641 | 1,739 | -4.7% |
| South Carolina | $56 | $154 | 179 | 429 | -5.9% |
| Kansas | $56 | $163 | 103 | 201 | -6.4% |
| Missouri | $56 | $191 | 179 | 402 | -6.6% |
| Arizona | $55 | $162 | 245 | 755 | -6.9% |
| Tennessee | $55 | $178 | 224 | 497 | -7.3% |
| Indiana | $55 | $154 | 191 | 344 | -7.5% |
| Ohio | $55 | $141 | 374 | 766 | -7.6% |
| Louisiana | $55 | $197 | 137 | 305 | -7.7% |
| Kentucky | $55 | $140 | 111 | 233 | -7.8% |
| Utah | $55 | $139 | 109 | 202 | -8.1% |
| Alabama | $54 | $115 | 113 | 219 | -8.4% |
| Maine | $54 | $125 | 29 | 48 | -9.5% |
| Vermont | $54 | $97 | 15 | 31 | -9.7% |
| Minnesota | $53 | $215 | 177 | 267 | -10.1% |
| Iowa | $53 | $167 | 121 | 235 | -11.0% |
| Arkansas | $53 | $136 | 87 | 214 | -11.5% |
| Oklahoma | $53 | $137 | 100 | 168 | -11.7% |
| Puerto Rico | $52 | $100 | 7 | 17 | -11.8% |
| Nebraska | $52 | $177 | 72 | 152 | -11.8% |
| Wisconsin | $52 | $354 | 218 | 373 | -13.1% |
| Mississippi | $52 | $179 | 75 | 155 | -13.1% |
| West Virginia | $51 | $155 | 40 | 87 | -13.6% |
| Idaho | $51 | $153 | 75 | 139 | -13.7% |
| New Mexico | $50 | $143 | 64 | 127 | -16.5% |
| South Dakota | $47 | $208 | 38 | 57 | -21.7% |
| North Dakota | $46 | $143 | 34 | 65 | -23.1% |
⚠️ 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