Surgery and procedures CPT 20600 Outpatient

Joint injection (small joint) cost in Seattle, WA

In Seattle-Tacoma-Bellevue, WA, 12 hospitals list a cash price for joint injection or drainage, small joint (fingers, toes): from $215.04 to $683.28, with a median of $450.72. The lowest listed price is at Swedish Edmonds — $235.68 less than the median here. Across Washington, the median is $379.08 at 50 hospitals.

  • The median here, $450.72, is 26% above the US median of $359.00.
  • That is 1.4× Medicare's 2026 national rate for the same service ($313.60).
  • 1 of 12 hospitals list a cash price equal to their full list price, with no self-pay discount.

Cash prices at 12 facilities across 8 cities for code 20600, as an outpatient — the setting a self-pay patient normally buys. Collected Nov 6, 2026; the hospital files themselves were last updated between Jan 1, 2026 and Apr 14, 2026.

Lowest$215.04Swedish Edmonds
Median$450.72half of hospitals charge less
Highest$683.28in this market
Difference3.2×highest vs lowest

Where each hospital's price falls

Each dot is one hospital's cash price on a scale from the lowest to the highest in Seattle-Tacoma-Bellevue, WA.

median
Lowest $215.04Highest $14,359.10

Hospitals, cheapest first

HospitalCash priceList priceInsurers payOff list
Swedish Edmonds lowest Edmonds, WA · (425) 640-4000 HC DRAIN/INJECT JOINT/BURSA SMALL W/O ULTRASOUND GUIDANCE File of Apr 1, 2026 · source file $215.04 $448.00 — 52%
Valley Medical Center Renton, WA · (425) 228-3450 Arthrocentesis Aspir&/Inj Small Jt/Bursa W/O US File of Mar 12, 2026 · source file $287.42 $410.60 — 30%
Overlake Medical Center & Clinics Bellevue, WA · (425) 688-5000 Hc Arthrocentesis Sm Jt/Bursa File of Apr 1, 2026 · source file $318.50 $637.00 — 50%
Snoqualmie Valley Hospital Snoqualmie, WA · (425) 831-2300 Facility Fee HC ARTHROCENTESIS SM JT/BURSA File of Apr 14, 2026 · source file $402.37 $693.74 $62.69–$638.24 42%
Swedish Issaquah Issaquah, WA · (425) 313-4000 HC DRAIN/INJECT JOINT/BURSA SMALL W/O ULTRASOUND GUIDANCE File of Apr 1, 2026 · source file $450.72 $939.00 — 52%
Swedish Medical Center / Cherry Hill Seattle, WA · (206) 320-2000 HC DRAIN/INJECT JOINT/BURSA SMALL W/O ULTRASOUND GUIDANCE File of Apr 1, 2026 · source file $450.72 $939.00 — 52%
Swedish Medical Center Seattle, WA · (206) 386-6000 HC DRAIN/INJECT JOINT/BURSA SMALL W/O ULTRASOUND GUIDANCE File of Apr 1, 2026 · source file $450.72 $939.00 — 52%
Virginia Mason Medical Center Seattle, WA · (206) 223-6600 ARTHROCENTESIS,ASPIRATN AND/OR INJ,SMALL JNT BURSA W/O US+1 more line at this price File of Jan 1, 2026 · source file $457.47 $897.00 $538.20–$717.60 49%
Kaiser Permanente Central Hospital Seattle, WA · (206) 326-3000 HB TX RM ARTHROCENTESIS SM JOINT BURSA GANG+1 more line at this price File of Apr 1, 2026 · source file $510.40 $638.00 $296.00–$657.00 20%
Kaiser Permanente Central Hospital Seattle, WA · (206) 326-3000 IVR ARTHROCENTESIS ASP/INJ SM File of Apr 1, 2026 · source file $560.00 $700.00 $296.00–$657.00 20%
Seattle Children's Hospital Seattle, WA · (206) 987-2000 Arthro Asp/Inj Small Bursa W/O US Guide File of Mar 31, 2026 · source file $609.00 $609.00 $153.47–$584.64 —
Cascade Valley Hospital Arlington, WA · (360) 435-2133 HC ARTHROCENTESIS - SMALL+1 more line at this price File of Mar 26, 2026 · source file $624.80 $781.00 $66.39–$1,123.87 20%
Valley Medical Center Renton, WA · (425) 228-3450 Arthrocentesis Aspir&/Inj Small Jt/Bursa W/O US File of Mar 12, 2026 · source file $658.70 $941.00 — 30%
Providence Regional Medical Center Everett Everett, WA · (425) 261-2000 HC DRAIN/INJECT JOINT/BURSA SMALL W/O ULTRASOUND GUIDANCE+1 more line at this price File of Apr 1, 2026 · source file $683.28 $1,314.00 — 48%
Kaiser Permanente Central Hospital Seattle, WA · (206) 326-3000 HB MOR CPT 20600 File of Apr 1, 2026 · source file $688.00 $860.00 $296.00–$657.00 20%
Swedish Medical Center / Cherry Hill Seattle, WA · (206) 320-2000 HC DRAIN/INJECT JOINT/BURSA SMALL W/O ULTRASOUND GUIDANCE+1 more line at this price File of Apr 1, 2026 · source file $825.60 $1,720.00 — 52%
Swedish Issaquah Issaquah, WA · (425) 313-4000 HC DRAIN/INJECT JOINT/BURSA SMALL W/O ULTRASOUND GUIDANCE+1 more line at this price File of Apr 1, 2026 · source file $825.60 $1,720.00 — 52%
Swedish Medical Center Seattle, WA · (206) 386-6000 HC ED ARTHROCENTESIS ASPIR&/INJ SMALL JT/BURSA W/O US CDM+1 more line at this price File of Apr 1, 2026 · source file $825.60 $1,720.00 — 52%
Seattle Children's Hospital Seattle, WA · (206) 987-2000 Arthro Asp/Inj Small Bursa W/O US Guide File of Mar 31, 2026 · source file $12,149.40 — — —
Seattle Children's Hospital one side Seattle, WA · (206) 987-2000 Arthro Asp/Inj Small Bursa W/O US Guide|LEFT SIDE File of Mar 31, 2026 · source file $14,359.10 — — —
Hospital The hospital that published the price, its city and the line exactly as written in its price file.
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More
Off list How much lower the cash price is than the list price.
At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More

Outpatient: lowest $215.04, median $450.72, highest $683.28 — a 3.2× difference within the same market.

As an inpatient, the same code is billed by 12 facilities here, median $616.90. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.

Cash or insurance?

At 4 of 5 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at 1 it is below every plan's rate. If you have insurance but have not met your deductible, you usually pay your plan's negotiated rate, which falls somewhere in the "Insurers pay" column. Paying cash can cost less, but a cash payment usually does not count toward your deductible. Ask the hospital for both numbers before you book.

What joint injection (small joint) is, what the price covers and why prices differ: Joint injection (small joint) explained.