Surgery and procedures CPT 20605 Outpatient

Joint injection (medium joint) cost in Roanoke, VA

In Roanoke, VA, 5 hospitals list a cash price for joint injection or drainage, medium joint (wrist, elbow, ankle): from $189.00 to $477.40, with a median of $477.40. The lowest listed price is at Bon Secours Southampton Memorial Hospital — $288.40 less than the median here. Across Virginia, the median is $406.80 at 37 hospitals.

Cash prices at 5 facilities across 3 cities for code 20605, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 27, 2026; the hospital files themselves were last updated between — and —.

Lowest$189.00Bon Secours Southampton Memorial Hospital
Median$477.40half pay less
Highest$477.40in this market
Difference2.5×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 Roanoke, VA.

median
Lowest $189.00Highest $954.80
one sideboth sides

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Bon Secours Southampton Memorial Hospital lowest Franklin, VA · (757) 569-6100 HC Asp Inj Intermediate Joint $189.00 $630.00 — 70% —
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Carilion Franklin Memorial Hospital one side Rocky Mt, VA HB ARTHROCENTESIS INTERMED JOI LT $477.40 $1,364.00 $49.53–$2,591.60 65% —
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Carilion Franklin Memorial Hospital one side Rocky Mt, VA HB ARTHROCENTESIS INTERMED JOI RT $477.40 $1,364.00 $49.53–$2,591.60 65% —
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Carilion Medical Center doing business as Carilion Roanoke Community Hospital one side Roanoke, VA HB SP ARTHROCENTESIS INTERM JNT RT $477.40 $1,364.00 $49.53–$2,591.60 65% —
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Carilion Medical Center doing business as Carilion Roanoke Community Hospital Roanoke, VA HB SP ARTHROCENTESIS INTERM JO $477.40 $1,364.00 $49.53–$2,591.60 65% —
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Carilion Medical Center doing business as Carilion Roanoke Community Hospital one side Roanoke, VA HB ARTHROCENTESIS INTERMED JOI RT $477.40 $1,364.00 $49.53–$2,591.60 65% —
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Carilion Medical Center doing business as Carilion Roanoke Community Hospital one side Roanoke, VA HB SP ARTHROCENTESIS INTERM JNT LT $477.40 $1,364.00 $49.53–$2,591.60 65% —
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Carilion Medical Center doing business as Carilion Roanoke Community Hospital Roanoke, VA HB XR ARTHROCENTESIS INTER JOINT $477.40 $1,364.00 $49.53–$2,591.60 65% —
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Carilion Medical Center doing business as Carilion Roanoke Community Hospital one side Roanoke, VA HB ARTHROCENTESIS INTERMED JOI LT $477.40 $1,364.00 $49.53–$2,591.60 65% —
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Carilion Medical Center doing business as Carilion Roanoke Memorial Hospital one side Roanoke, VA HB SP ARTHROCENTESIS INTERM JNT RT $477.40 $1,364.00 $49.53–$2,591.60 65% —
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Carilion Medical Center doing business as Carilion Roanoke Memorial Hospital Roanoke, VA HB XR ARTHROCENTESIS INTER JOINT $477.40 $1,364.00 $49.53–$2,591.60 65% —
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Carilion Medical Center doing business as Carilion Roanoke Memorial Hospital one side Roanoke, VA HB ARTHROCENTESIS INTERMED JOI LT $477.40 $1,364.00 $49.53–$2,591.60 65% —
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Carilion Giles Community Hospital one side Roanoke, VA HB ARTHROCENTESIS INTERMED JOI LT $477.40 $1,364.00 $49.53–$2,591.60 65% —
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Carilion Giles Community Hospital one side Roanoke, VA HB ARTHROCENTESIS INTERMED JOI RT $477.40 $1,364.00 $49.53–$2,591.60 65% —
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Carilion Medical Center doing business as Carilion Roanoke Memorial Hospital Roanoke, VA HB SP ARTHROCENTESIS INTERM JO $477.40 $1,364.00 $49.53–$2,591.60 65% —
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Carilion Medical Center doing business as Carilion Roanoke Memorial Hospital one side Roanoke, VA HB ARTHROCENTESIS INTERMED JOI RT $477.40 $1,364.00 $49.53–$2,591.60 65% —
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Carilion Medical Center doing business as Carilion Roanoke Memorial Hospital one side Roanoke, VA HB SP ARTHROCENTESIS INTERM JNT LT $477.40 $1,364.00 $49.53–$2,591.60 65% —
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Carilion Franklin Memorial Hospital both sides Rocky Mt, VA HB ARTHROCENTESIS INTERMED JOI BILAT $954.80 $2,728.00 $49.53–$2,591.60 65% —
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Carilion Medical Center doing business as Carilion Roanoke Community Hospital both sides Roanoke, VA HB ARTHROCENTESIS INTERMED JOI BILAT $954.80 $2,728.00 $49.53–$2,591.60 65% —
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Carilion Medical Center doing business as Carilion Roanoke Memorial Hospital both sides Roanoke, VA HB ARTHROCENTESIS INTERMED JOI BILAT $954.80 $2,728.00 $49.53–$2,591.60 65% —
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Carilion Giles Community Hospital both sides Roanoke, VA HB ARTHROCENTESIS INTERMED JOI BILAT $954.80 $2,728.00 $49.53–$2,591.60 65% —
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Outpatient: lowest $189.00, median $477.40, highest $477.40 — a 2.5× difference within the same market.

Both sides : lowest $954.80, median $954.80, highest $954.80.

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 1 facility here, median $189.00. 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 4 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at none is it 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.