20600

Aspiration and/or injection of fluid from small joint

Medicare pricing data for 40,472 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 small joint (HCPCS code 20600) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $46.49, but hospitals typically charge $195.71 — a 4.2x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$9.30

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $46.49, your out-of-pocket cost would be approximately $9.30. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$46.49
Average Hospital Charge
$195.71
Markup Ratio
4.2x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$195.71
Medicare Allowed$46.49
Medicare Payment$34.40

Hospitals charge 4.2x more than what Medicare allows for this procedure. Medicare actually pays $34.40 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$57$345111598+22.1%
New Jersey$56$2491,29012,899+20.5%
New York$54$1922,19328,112+16.3%
District of Columbia$54$17370346+15.7%
Maryland$53$1768087,767+13.7%
Connecticut$51$2434413,844+8.7%
Massachusetts$50$19992010,663+6.7%
Delaware$49$2461412,677+6.4%
Pennsylvania$49$1582,10621,015+4.9%
Colorado$49$2307527,223+4.5%
California$48$1853,36634,609+4.2%
New Hampshire$48$2352332,162+2.5%
Illinois$47$2131,51815,124+2.1%
Washington$47$1679377,975+1.6%
Puerto Rico$47$6167217+0.9%
Nevada$46$2653083,296-0.4%
Rhode Island$46$1851501,175-0.5%
Florida$46$1772,83243,562-0.7%
Texas$46$2452,56324,417-0.7%
Hawaii$46$124100756-1.2%
Virginia$46$1971,08512,571-2.1%
Oregon$45$1655174,540-2.4%
Michigan$45$1231,35214,513-2.6%
Louisiana$45$2205434,291-3.7%
South Carolina$45$1677129,851-3.8%
Oklahoma$45$1405173,932-3.8%
Arizona$45$17397613,551-3.9%
Alabama$45$1404963,840-4.0%
Iowa$45$2184765,106-4.2%
Wyoming$45$212124923-4.3%
North Carolina$44$1941,53014,439-4.5%
Arkansas$44$1593854,292-4.9%
Indiana$44$2048766,810-5.1%
Georgia$44$2351,11512,727-5.5%
Montana$44$1362092,104-5.5%
Kentucky$44$1765987,021-6.4%
West Virginia$43$1672211,798-7.8%
Wisconsin$43$3857994,896-8.2%
Minnesota$43$2178735,881-8.5%
Tennessee$43$2029538,978-8.5%
Ohio$42$1961,61614,911-9.1%
Utah$42$1485254,004-9.4%
New Mexico$42$1652302,347-10.0%
Kansas$42$2534434,996-10.5%
Missouri$41$2518278,995-11.0%
Mississippi$41$1753143,682-11.4%
Maine$39$1121621,025-15.3%
Idaho$39$1332901,833-16.5%
South Dakota$38$1701871,583-18.3%
Nebraska$38$1993553,561-18.8%
Vermont$37$15977643-20.9%
North Dakota$35$2051711,850-24.8%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

Related from TheDataProject.ai

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