SelfPayRates
Cash prices Maryland Outpatient

Cortisone shot cost in Maryland without insurance

In Maryland, the median cash price for Joint injection (cortisone shot) is $240.42 across 6 hospitals, from $167.24 to $1,057.52. The lowest is at Atlantic General Hospital (Berlin). The US median is $440.00.

Why Maryland prices look low: Maryland is the only state where a commission (the HSCRC) sets hospital rates for every payer, so its hospitals publish prices far below the rest of the country. A separate physician fee may still apply.

Maryland law (Health-General §19-214.1) requires hospitals to give free medically necessary care to patients with family income at or below 200% of the federal poverty level and to cut the bill by 75% up to 250% and 60% up to 300%. With medical debt above 25% of family income in a year, discounts reach up to 500%. Immigration status does not count. Ask the hospital for its financial assistance application. Other states' laws.

Steroid injections, often called cortisone shots, treat joint, tendon and spine pain. They are billed by where the needle goes and whether imaging guides it. A shot in a knee or shoulder in a doctor's office is at the low end, while spine injections under X-ray in a hospital cost much more. The steroid itself is often a separate charge.

Collected Sep 27, 2026 One price per hospital: its lowest outpatient cash price for the code

Cortisone shot prices in Maryland by type

20610 is an injection into a large joint such as the knee or shoulder and is used in the state table; 20605 and 20600 are medium and small joints; 20550 and 20552 are tendon and trigger point injections; 62321 to 62323 and 64483 are epidural injections; 64493 is a facet joint injection; 64635 is radiofrequency ablation; 64405 is an occipital nerve block; and 64615 is Botox for migraine.

ProcedureHospitalsRangeMedianUS median
Joint injection (cortisone shot) Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound · code 20610 6 $167.24–$1,057.52 $240.42 $440.00
Joint injection (medium joint) Joint injection or drainage, medium joint (wrist, elbow, ankle) · code 20605 6 $112.34–$528.76 $212.50 $378.86
Joint injection (small joint) Joint injection or drainage, small joint (fingers, toes) · code 20600 5 $124.00–$246.71 $168.51 $358.50
Tendon sheath injection Injection into a tendon sheath or ligament (for example trigger finger) · code 20550 4 $151.00–$403.26 $249.70 $392.00
Trigger point injection Trigger point injections, 1 or 2 muscles · code 20552 5 $28.08–$384.41 $143.00 $392.20
Epidural injection, guided Lower-back epidural injection, with imaging guidance · code 62323 2 $1,253.80–$2,964.92 $2,109.36 $1,366.65
Epidural steroid injection Lower-back epidural injection, without imaging guidance · code 62322 1 $232.00 $232.00 $1,235.75
Neck epidural injection Epidural steroid injection, neck or mid back, with imaging guidance · code 62321 2 $1,304.12–$2,927.82 $2,115.97 $1,391.40
Nerve root injection Lower-back nerve root steroid injection, with imaging guidance · code 64483 2 $294.00–$1,218.17 $756.09 $1,468.32
Lumbar facet injection Facet joint injection, lower back, one level, with imaging guidance · code 64493 2 $238.00–$1,347.46 $792.73 $1,533.60
Lumbar radiofrequency ablation Radiofrequency ablation of facet joint nerves, lower back, one level · code 64635 1 $584.00 $584.00 $2,605.71
Occipital nerve block Occipital nerve block (injection for headaches) · code 64405 4 $262.00–$784.00 $559.09 $540.00
Botox for migraine Botox injections for chronic migraine · code 64615 1 $918.21 $918.21 $518.00
Procedure The service and its billing code (CPT or HCPCS). Opens the comparison of every hospital that prices it. More
Hospitals How many hospitals publish a cash price for this code here. Each hospital counts once, at its lowest outpatient cash price.
Middle 80% Cash prices of most hospitals: a tenth of hospitals charge less than the first number (P10), a tenth charge more than the second (P90). More
Median The middle cash price: half of the hospitals charge less, half charge more. One price per hospital. More
US median The median cash price across all US hospitals that publish one for this code.

Outpatient cash prices in Maryland. Each hospital counts once, at its lowest cash price for the code; prices for both sides of the body and inpatient prices are not mixed in. Pick a procedure to compare every hospital in the state.

Lowest Joint injection (cortisone shot) prices in Maryland

Cortisone shot cost in other states

Paying cash: what to do

  • Ask whether the price includes the medicine and any ultrasound or X-ray guidance.
  • Orthopedic, sports medicine and pain management offices often charge less than hospitals.
  • Doctors usually limit steroid shots to a few a year in one spot, so ask how many you might need.