Surgery and procedures CPT 20605 Outpatient

Joint injection (medium joint) cost in Omaha, NE

In Omaha, NE-IA, 10 hospitals list a cash price for joint injection or drainage, medium joint (wrist, elbow, ankle): from $74.97 to $258.30, with a median of $255.90. The lowest listed price is at Alegent Health Community Memorial Hospital of Missouri Valley, Iowa — $180.93 less than the median here. Across Nebraska, the median is $228.75 at 16 hospitals.

Cash prices at 10 facilities across 5 cities for code 20605, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 23, 2026; the hospital files themselves were last updated between Feb 14, 2026 and Aug 10, 2026.

Lowest$74.97Alegent Health Community Memorial Hospital of Missouri Valley, Iowa
Median$255.90half pay less
Highest$258.30in this market
Difference3.4×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 Omaha, NE-IA.

median
Lowest $74.97Highest $11,121.84
one sideboth sides

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Alegent Health Community Memorial Hospital of Missouri Valley, Iowa lowest Missouri Valley, IA · (712) 642-2784 PC INJECT ASPIRATE MD JOINT $74.97 $153.00 $38.25–$149.94 51% Feb 28, 2026
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Nebraska Methodist Hospital Omaha, NE · (402) 354-4000 Arthrocentesis Intermediate Joint or Bursa $88.56 $246.00 $52.63–$159.90 64% Feb 14, 2026
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Nebraska Methodist Hospital Omaha, NE · (402) 354-4000 Arthrocentesis Intermediate Joint or Bursa $88.56 $246.00 $52.63–$159.90 64% Feb 14, 2026
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Jennie Edmundson Memorial Hospital Council Bluffs, IA · (712) 396-6000 Arthrocentesis intermediate joint or bursa $207.90 $693.00 $318.78–$1,832.00 70% Feb 15, 2026
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Jennie Edmundson Memorial Hospital Council Bluffs, IA · (712) 396-6000 Inj For Interm Joint $214.20 $714.00 $328.44–$1,832.00 70% Feb 15, 2026
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Jennie Edmundson Memorial Hospital Council Bluffs, IA · (712) 396-6000 WC-Aspiration of joint wrist elbow or ankle $214.20 $714.00 $118.00–$499.80 70% Feb 15, 2026
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Jennie Edmundson Memorial Hospital Council Bluffs, IA · (712) 396-6000 Arthro-Intermediate Joint $214.20 $714.00 $328.44–$1,832.00 70% Feb 15, 2026
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Jennie Edmundson Memorial Hospital Council Bluffs, IA · (712) 396-6000 Asp/Inj Intermed Joint-SP $214.20 $714.00 $328.44–$1,832.00 70% Feb 15, 2026
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Jennie Edmundson Memorial Hospital Council Bluffs, IA · (712) 396-6000 Arthro/Asp/Inj Med Joint $214.20 $714.00 $328.44–$1,832.00 70% Feb 15, 2026
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Jennie Edmundson Memorial Hospital Council Bluffs, IA · (712) 396-6000 Arthrocentesis Intermediate Joint or Bursa $214.20 $714.00 $328.44–$908.00 70% Feb 15, 2026
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Alegent Health Community Memorial Hospital of Missouri Valley, Iowa Missouri Valley, IA · (712) 642-2784 HC ASPIRATE INJ INTERMED JOINT $238.14 $486.00 $170.10–$476.28 51% Feb 28, 2026
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Bellevue Medical Center Bellevue, NE · (402) 763-3600 Aspiration and/or injection of fluid from medium joint $253.50 $390.00 $22.23–$131.40 35% Aug 10, 2026
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Nebraska Medical Center Omaha, NE · (402) 559-4000 Aspiration and/or injection of fluid from medium joint $253.50 $390.00 $22.23–$131.40 35% Aug 10, 2026
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Nebraska Methodist Hospital Omaha, NE · (402) 354-4000 Arthrocentesis intermediate joint or bursa $257.04 $714.00 $328.44–$1,832.00 64% Feb 14, 2026
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Nebraska Methodist Hospital Omaha, NE · (402) 354-4000 WC-Aspiration of joint wrist elbow or ankle $257.04 $714.00 $118.00–$499.80 64% Feb 14, 2026
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Nebraska Methodist Hospital Omaha, NE · (402) 354-4000 Arthro-Intermediate Joint $257.04 $714.00 $328.44–$1,832.00 64% Feb 14, 2026
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Nebraska Methodist Hospital Omaha, NE · (402) 354-4000 Arthrocentesis Intermediate Joint or Bursa $257.04 $714.00 $328.44–$908.00 64% Feb 14, 2026
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Nebraska Methodist Hospital Omaha, NE · (402) 354-4000 Asp/Inj Intermed Joint-SP $257.04 $714.00 $328.44–$1,832.00 64% Feb 14, 2026
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Nebraska Methodist Hospital Omaha, NE · (402) 354-4000 Arthrocentesis intermediate joint or bursa $257.04 $714.00 $328.44–$1,832.00 64% Feb 14, 2026
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Nebraska Methodist Hospital Omaha, NE · (402) 354-4000 Arthro/Asp/Inj Med Joint $257.04 $714.00 $328.44–$1,832.00 64% Feb 14, 2026
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Nebraska Methodist Hospital Omaha, NE · (402) 354-4000 WC-Aspiration of joint wrist elbow or ankle $257.04 $714.00 $118.00–$499.80 64% Feb 14, 2026
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Nebraska Methodist Hospital Omaha, NE · (402) 354-4000 Arthro-Intermediate Joint $257.04 $714.00 $328.44–$1,832.00 64% Feb 14, 2026
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Nebraska Methodist Hospital Omaha, NE · (402) 354-4000 Arthrocentesis Intermediate Joint or Bursa $257.04 $714.00 $328.44–$908.00 64% Feb 14, 2026
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Nebraska Methodist Hospital Omaha, NE · (402) 354-4000 Asp/Inj Intermed Joint-SP $257.04 $714.00 $328.44–$1,832.00 64% Feb 14, 2026
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Nebraska Methodist Hospital Omaha, NE · (402) 354-4000 Arthro/Asp/Inj Med Joint $257.04 $714.00 $328.44–$1,832.00 64% Feb 14, 2026
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CHI Health Mercy Council Bluffs Council Bluffs, IA · (712) 328-5000 HC ASPIRATE INJ INTERMED JOINT $258.30 $615.00 $69.45–$3,259.25 58% Feb 28, 2026
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Alegent Creighton Health Papillion, NE · (402) 593-3000 HC ASPIRATE INJ INTERMED JOINT $258.30 $615.00 $69.45–$3,259.25 58% Feb 28, 2026
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Alegent Health Immanuel Medical Center Omaha, NE · (402) 572-2121 HC ASPIRATE INJ INTERMED JOINT $258.30 $615.00 $69.45–$3,259.25 58% Feb 28, 2026
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CHI Health Bergan Mercy Omaha, NE · (402) 398-6020 HC ASPIRATE INJ INTERMED JOINT $258.30 $615.00 $69.45–$3,259.25 58% Feb 28, 2026
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Alegent Creighton Health Omaha, NE · (402) 717-8000 HC ASPIRATE INJ INTERMED JOINT $258.30 $615.00 $69.45–$3,259.25 58% Feb 28, 2026
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CHI Health Bergan Mercy Omaha, NE · (402) 398-6020 HC ASPIRATE INJ INTERMED JOINT $258.30 $615.00 $104.55–$3,259.25 58% Feb 28, 2026
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Jennie Edmundson Memorial Hospital Council Bluffs, IA · (712) 396-6000 ARTHROCENTESIS ASPIRAND-INJ INTERM JT-BURS W-O US $1,710.60 $5,702.00 $1,128.00–$3,991.40 70% Feb 15, 2026
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Nebraska Methodist Hospital Omaha, NE · (402) 354-4000 ARTHROCENTESIS ASPIRAND-INJ INTERM JT-BURS W-O US $11,121.84 $30,894.00 $1,128.00–$21,625.80 64% Feb 14, 2026
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Nebraska Methodist Hospital Omaha, NE · (402) 354-4000 ARTHROCENTESIS ASPIRAND-INJ INTERM JT-BURS W-O US $11,121.84 $30,894.00 $1,128.00–$21,625.80 64% Feb 14, 2026
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Alegent Health Community Memorial Hospital of Missouri Valley, Iowa both sides Missouri Valley, IA · (712) 642-2784 HC ASPIRATE INJ INTERMED JOINT- BILATERAL $378.28 $772.00 $270.20–$756.56 51% Feb 28, 2026
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Alegent Creighton Health both sides Papillion, NE · (402) 593-3000 HC ASPIRATE INJ INTERMED JOINT- BILATERAL $400.26 $953.00 $69.45–$3,259.25 58% Feb 28, 2026
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CHI Health Bergan Mercy both sides Omaha, NE · (402) 398-6020 HC ASPIRATE INJ INTERMED JOINT- BILATERAL $400.26 $953.00 $162.01–$3,259.25 58% Feb 28, 2026
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CHI Health Bergan Mercy both sides Omaha, NE · (402) 398-6020 HC ASPIRATE INJ INTERMED JOINT- BILATERAL $400.26 $953.00 $69.45–$3,259.25 58% Feb 28, 2026
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CHI Health Mercy Council Bluffs both sides Council Bluffs, IA · (712) 328-5000 HC ASPIRATE INJ INTERMED JOINT- BILATERAL $400.26 $953.00 $69.45–$3,259.25 58% Feb 28, 2026
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Alegent Health Immanuel Medical Center both sides Omaha, NE · (402) 572-2121 HC ASPIRATE INJ INTERMED JOINT- BILATERAL $400.26 $953.00 $69.45–$3,259.25 58% Feb 28, 2026
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Alegent Creighton Health both sides Omaha, NE · (402) 717-8000 HC ASPIRATE INJ INTERMED JOINT- BILATERAL $400.26 $953.00 $69.45–$3,259.25 58% Feb 28, 2026
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Outpatient: lowest $74.97, median $255.90, highest $258.30 — a 3.4× difference within the same market.

Both sides : lowest $378.28, median $400.26, highest $400.26 — a 1.1× difference within the same market.

The two groups are not comparable and are not averaged together: a price for both sides of the body covers twice the work. Merging them is how a single published "median" ends up far above what one side actually costs.

As an inpatient, the same code is billed by 8 facilities here, median $258.30. 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 8 of 10 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 it is

This code covers injecting or draining a medium-sized joint such as the wrist, elbow or ankle.

What the price covers

The price usually covers the procedure. The medicine and imaging guidance are billed separately.