Surgery and procedures CPT 20605 Outpatient

Joint injection (medium joint) cost in Lexington, VA

In Lexington, VA, 1 hospital lists a cash price for joint injection or drainage, medium joint (wrist, elbow, ankle): from $477.40 to $477.40, with a median of $477.40. Across Virginia, the median is $421.50 at 44 hospitals.

Cash prices at 1 facility 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$477.40Carilion Rockbridge Community Hospital
Median$477.40half pay less
Highest$477.40in this market
Difference1.0×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 Lexington, VA.

median
Lowest $477.40Highest $954.80
one sideboth sides

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Carilion Rockbridge Community Hospital lowest Lexington, VA HB XR ARTHROCENTESIS INTER JOINT $477.40 $1,364.00 $49.53–$2,591.60 65% —
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Carilion Rockbridge Community Hospital one side Lexington, VA HB ARTHROCENTESIS INTERMED JOI LT $477.40 $1,364.00 $49.53–$2,591.60 65% —
source file
Carilion Rockbridge Community Hospital one side Lexington, VA HB ARTHROCENTESIS INTERMED JOI RT $477.40 $1,364.00 $49.53–$2,591.60 65% —
source file
Carilion Rockbridge Community Hospital both sides Lexington, VA HB ARTHROCENTESIS INTERMED JOI BILAT $954.80 $2,728.00 $49.53–$2,591.60 65% —
source file

Outpatient: lowest $477.40, median $477.40, highest $477.40.

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.

Cash or insurance?

At the one hospital here that publishes insurer rates for this code, the cash price is below the highest rate a health plan has negotiated. 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.