Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance
Medicare pricing data for 14,487 providers across 52 states
This procedure has a 6.4x markup — hospitals charge $941.20 but Medicare allows only $147.27. Uninsured patients may face bills 6.4 times higher than what insurance negotiates. Prices vary significantly by location — from $104 in North Dakota to $211 in Alaska. Where you get this procedure matters more than almost any other factor. 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 anesthetic or steroid into joint between lower spine and hip bone using imaging guidance (HCPCS code 27096) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $147.27, but hospitals typically charge $941.20 — a 6.4x 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 $147.27, your out-of-pocket cost would be approximately $29.45. 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 6.4x more than what Medicare allows for this procedure. Medicare actually pays $112.41 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $211 | $1,892 | 40 | 608 | +43.0% |
| Virginia | $184 | $1,129 | 327 | 9,741 | +25.3% |
| New York | $173 | $893 | 768 | 11,627 | +17.3% |
| New Jersey | $171 | $2,200 | 439 | 6,533 | +15.9% |
| Florida | $170 | $889 | 1,325 | 32,830 | +15.4% |
| Utah | $167 | $624 | 187 | 3,950 | +13.4% |
| District of Columbia | $164 | $948 | 29 | 334 | +11.7% |
| Michigan | $164 | $789 | 476 | 9,690 | +11.1% |
| South Carolina | $163 | $940 | 219 | 7,795 | +10.5% |
| North Carolina | $162 | $1,118 | 481 | 12,770 | +10.0% |
| Nevada | $161 | $1,476 | 126 | 1,932 | +9.1% |
| Connecticut | $160 | $1,030 | 164 | 2,510 | +8.4% |
| Arizona | $159 | $719 | 354 | 10,280 | +8.3% |
| Hawaii | $159 | $465 | 20 | 160 | +7.7% |
| Illinois | $158 | $1,102 | 511 | 11,411 | +7.0% |
| Nebraska | $158 | $885 | 114 | 2,735 | +7.0% |
| Kentucky | $150 | $774 | 207 | 6,521 | +1.7% |
| Maine | $148 | $587 | 37 | 1,092 | +0.7% |
| California | $148 | $975 | 1,155 | 21,627 | +0.2% |
| Puerto Rico | $146 | $195 | 21 | 119 | -1.0% |
| Wyoming | $146 | $668 | 35 | 429 | -1.0% |
| New Mexico | $145 | $774 | 82 | 1,123 | -1.7% |
| Delaware | $144 | $1,620 | 50 | 1,143 | -2.2% |
| Rhode Island | $144 | $978 | 44 | 734 | -2.5% |
| Oklahoma | $144 | $675 | 181 | 4,437 | -2.6% |
| Texas | $142 | $1,033 | 1,216 | 20,474 | -3.4% |
| Massachusetts | $140 | $1,102 | 342 | 6,935 | -4.8% |
| Washington | $140 | $678 | 302 | 4,690 | -5.0% |
| Oregon | $139 | $696 | 167 | 2,955 | -5.3% |
| Tennessee | $139 | $748 | 257 | 4,976 | -5.5% |
| New Hampshire | $138 | $962 | 94 | 1,474 | -6.1% |
| Colorado | $138 | $802 | 281 | 4,701 | -6.4% |
| Iowa | $137 | $1,155 | 120 | 3,120 | -7.2% |
| Maryland | $137 | $651 | 283 | 5,154 | -7.3% |
| Arkansas | $133 | $713 | 160 | 3,553 | -9.5% |
| Pennsylvania | $133 | $853 | 613 | 12,277 | -9.5% |
| Alabama | $131 | $618 | 186 | 5,217 | -11.4% |
| Indiana | $130 | $1,045 | 304 | 6,490 | -11.9% |
| Ohio | $125 | $641 | 545 | 11,723 | -15.3% |
| Missouri | $124 | $910 | 293 | 7,258 | -15.8% |
| Minnesota | $123 | $879 | 354 | 4,613 | -16.2% |
| Georgia | $121 | $1,009 | 462 | 10,297 | -17.8% |
| Wisconsin | $120 | $1,702 | 283 | 5,129 | -18.5% |
| Vermont | $119 | $865 | 20 | 465 | -19.5% |
| Louisiana | $117 | $1,086 | 226 | 3,528 | -20.8% |
| Montana | $116 | $532 | 53 | 979 | -21.3% |
| West Virginia | $108 | $360 | 59 | 1,535 | -26.7% |
| Kansas | $107 | $699 | 161 | 3,360 | -27.0% |
| Mississippi | $107 | $1,081 | 105 | 3,210 | -27.5% |
| Idaho | $106 | $570 | 110 | 2,033 | -27.8% |
| South Dakota | $106 | $409 | 53 | 1,819 | -28.0% |
| North Dakota | $104 | $739 | 41 | 1,499 | -29.5% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber