Surgery and procedures CPT 20600 Iowa Outpatient

Joint injection (small joint) cost in Iowa

In Iowa, 73 hospitals publish a cash price for joint injection or drainage, small joint (fingers, toes): from $57.60 to $3,143.00, with a median of $280.00. The lowest price is at Decatur County Hospital (Leon). The highest price is 54.6× the lowest.

  • The median here, $280.00, is 22% below the US median of $359.00.
  • That is 0.9× Medicare's 2026 national rate for the same service ($313.60).
  • Iowa ranks 13th of 49 states by median, cheapest first.
  • 8 of 73 hospitals list a cash price equal to their full list price, with no self-pay discount.

Outpatient cash prices, one line per hospital — its lowest listed price for code 20600. Prices for both sides of the body and inpatient prices are not mixed in. Collected Nov 7, 2026. See them on a map

Lowest$57.60Decatur County Hospital
Median$280.00half of hospitals charge less
Highest$3,143.00in Iowa
Lowest saves$222.40vs the median

Hospitals in Iowa, cheapest first

HospitalCash priceList priceFile date
Decatur County Hospital lowest Leon · Leon, IA Aspiration and/or injection of fluid from small joint $57.60 $72.00 Mar 4, 2026
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Sioux Center Health one side Sioux Center · Sioux Center, IA $65.96 $68.00 Apr 1, 2026
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Shelby County Chris A Myrtue Memorial Hospital Harlan · Harlan, IA Aspiration and/or injection of fluid from small joint $66.70 $115.00 Apr 21, 2026
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Lakes Regional Hospital one side Spirit Lake · Spirit Lake, IA $85.50 $90.00 Apr 1, 2026
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Spencer Municipal Hospital one side Spencer · Spencer, IA Asp/Inj Small Joint RT $85.50 $114.00 Jan 1, 2026
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Clarinda Regional Health Center Clarinda · Clarinda, IA Aspiration and/or injection of fluid from small joint $87.00 $116.00 Oct 23, 2026
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WinnMed Decorah · Decorah, IA Aspiration and/or injection of fluid from small joint $98.70 $141.00 Oct 13, 2026
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Dallas County Hospital Perry · Des Moines-West Des Moines, IA PANORA-ASPIR/INJ JOINT SMALL $105.00 $161.00 May 29, 2026
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Broadlawns Medical Center Des Moines · Des Moines-West Des Moines, IA Aspiration/Injection $106.00 $106.00 Sep 1, 2026
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Shenandoah Medical Center Shenandoah · Shenandoah, IA Aspiration and/or injection of fluid from small joint $109.85 $169.00 Sep 21, 2026
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Waverly Health Center Waverly · Waterloo-Cedar Falls, IA Aspiration and/or injection of fluid from small joint $113.88 $219.00 Oct 19, 2026
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Madison County Memorial Hospital Winterset · Des Moines-West Des Moines, IA Aspiration and/or injection of fluid from small joint $118.40 $148.00 Oct 21, 2026
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Community Memorial Hospital Medical Center Sumner · Waterloo-Cedar Falls, IA HC DRAIN/INJ JOINT/BURSA W/O US $130.33 $162.92 Jun 18, 2026
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St Anthony Regional Hospital and Nursing Home Carroll · Carroll, IA Aspiration and/or injection of fluid from small joint $134.00 $134.00 Nov 3, 2026
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Adair County Memorial Hospital Greenfield · Greenfield, IA Aspiration and/or injection of fluid from small joint $146.25 $195.00 Sep 2, 2026
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Manning Regional Healthcare Center Manning · Carroll, IA Aspiration and/or injection of fluid from small joint $147.07 $219.50 Oct 16, 2026
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Hancock County Health System Britt · Britt, IA Aspiration and/or injection of fluid from small joint $159.00 $212.00 Oct 20, 2026
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Hansen Family Hospital Iowa Falls · Iowa Falls, IA Aspiration and/or injection of fluid from small joint $164.38 $164.38 Jul 10, 2026
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MercyOne Clinton Medical Center Clinton · Clinton, IA HC Arthrocentesis/Aspiration/Injection Small Joint/Bursa W/O Ultrasound Guidance $165.75 $255.00 Mar 31, 2026
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Jefferson County Hospital Fairfield · Fairfield, IA Aspiration and/or injection of fluid from small joint $182.40 $304.00 Aug 20, 2026
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Alegent Health - Mercy Hospital, Corning Iowa Corning · Corning, IA HC DRAIN INJ ASP JNT BURSA SM $184.05 $409.00 Sep 30, 2026
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Cherokee Regional Medical Center Cherokee · Cherokee, IA HC DRAIN/INJ JOINT/BURSA W/O US $190.80 $212.00 Mar 31, 2026
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Alegent Health Community Memorial Hospital of Missouri Valley, Iowa Missouri Valley · Omaha, NE-IA HC DRAIN INJ ASP JNT BURSA SM $204.50 $409.00 Sep 30, 2026
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Audubon County Memorial Hospital Audubon · Audubon, IA Aspiration and/or injection of fluid from small joint $205.00 $205.00 Sep 14, 2026
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Story County Hospital Nevada · Ames, IA PR ARTHROCENTESIS ASPIR&/INJ SMALL JT/BURSA W/O US $210.40 $263.00 Mar 30, 2026
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Van Buren County Hospital Keosauqua · Keosauqua, IA Aspiration and/or injection of fluid from small joint $212.10 $303.00 Jul 20, 2026
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Franklin General Hospital Hampton · Hampton, IA Aspiration and/or injection of fluid from small joint $212.40 $236.00 Nov 3, 2026
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Methodist Jennie Edmundson Hospital Council Bluffs · Omaha, NE-IA Arthro/Asp/Inj Small Joint $214.20 $714.00 Feb 15, 2026
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CHI Health Mercy Council Bluffs Council Bluffs · Omaha, NE-IA HC DRAIN INJ ASP JNT BURSA SM $222.31 $517.00 Sep 30, 2026
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Hawarden Regional Healthcare Harwarden · Harwarden, IA ASP JOINT INJ $239.20 $281.41 Apr 24, 2026
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MercyOne Genesis Davenport West Medical Center Davenport · Davenport-Moline-Rock Island, IA-IL FL Foot Injection L- Premier MRI $251.40 $419.00 Mar 31, 2026
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Wayne County Hospital Corydon · Corydon, IA Aspiration and/or injection of fluid from small joint $261.00 $261.00 Jun 10, 2026
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MercyOne Waterloo Medical Center Waterloo · Waterloo-Cedar Falls, IA HC Arthrocentesis/Aspiration/Injection Small Joint/Bursa W/O Ultrasound Guidance $272.35 $419.00 Mar 31, 2026
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Rawford County Memorial Hospital Denison · Denison, IA Aspiration and/or injection of fluid from small joint $272.80 $341.00 Jul 27, 2026
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Veterans Memorial Hospital City of Waukon Ia Waukon · Waukon, IA Aspiration and/or injection of fluid from small joint $274.17 $481.00 Oct 8, 2026
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Loring Hospital Sac City · Sac City, IA HC DRAIN/INJ JOINT/BURSA W/O US $276.00 $345.00 Aug 25, 2026
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Van Diest Medical Center Webster City · Webster City, IA DRAIN/INJ JOINT/BURSA W/O US $280.00 $350.00 Feb 5, 2026
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MercyOne North Iowa Medical Center one side Mason City · Mason City, IA HC Arthrocentesis/Aspiration/Injection Small Joint/Bursa W/O Ultrasound Guidance Rt $281.45 $433.00 Mar 31, 2026
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Gundersen Palmer Lutheran Hospital and Clinic West Union · West Union, IA HCHG 20600 ARTHORCENTESIS,ASP/INJ SM JNT $284.53 $479.00 Jun 27, 2026
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MercyOne Genesis Davenport Medical Center Davenport · Davenport-Moline-Rock Island, IA-IL FL Foot Injection L- Premier MRI $291.00 $485.00 Mar 31, 2026
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MercyOne Genesis DeWitt Medical Center Dewitt · Clinton, IA GHS INJ SM JOINT BURSA GANG CYS $291.00 $485.00 Mar 31, 2026
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Floyd County Memorial Hospital Commission Charles City · Charles City, IA Aspiration and/or injection of fluid from small joint $313.60 $784.00 Sep 30, 2026
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Grinnell Regional Medical Center Grinnell · Grinnell, IA HC DRAIN/INJ JOINT/BURSA W/O US $331.40 $414.25 Nov 4, 2026
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Buena Vista Regional Medical Center Storm Lake · Storm Lake, IA HC DRAIN/INJ JOINT/BURSA W/O US $337.60 $422.00 Mar 31, 2026
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Regional Medical Center Manchester · Manchester, IA DRAIN/INJ JOINT/BURSA W/O US $379.20 $474.00 Feb 20, 2026
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Grundy County Memorial Hospital Grundy Center · Waterloo-Cedar Falls, IA HC DRAIN/INJ JOINT/BURSA W/O US $410.40 $513.00 Jun 29, 2026
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Stewart Memorial Community Hospital Lake City · Lake City, IA DRAIN/INJECT SM JNT/BURSA $413.00 $517.00 Oct 8, 2024
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Kossuth Regional Health Center Algona · Algona, IA Aspiration and/or injection of fluid from small joint $413.10 $516.38 Jul 16, 2026
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Greene County Medical Center Jefferson · Jefferson, IA HC DRAIN/INJ JOINT/BURSA W/O US $442.40 $790.00 Mar 26, 2026
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Virginia Gay Hospital Vinton · Cedar Rapids, IA Aspiration and/or injection of fluid from small joint $490.40 $613.00 Aug 13, 2026
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Sartori Memorial Hospital one side Cedar Falls · Waterloo-Cedar Falls, IA HC Arthrocentesis/Aspiration/Injection Small Joint/Bursa W/O Ultrasound Guidance Rt $518.05 $797.00 Mar 31, 2026
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Mercy Medical Center - New Hampton New Hampton · New Hampton, IA HC Arthrocentesis/Aspiration/Injection Small Joint/Bursa W/O Ultrasound Guidance $519.35 $799.00 Mar 31, 2026
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St Lukes Regional Medical Center Sioux City · Sioux City, IA-NE-SD HC DRAIN/INJ JOINT/BURSA W/O US $528.97 $661.21 Nov 4, 2026
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Trinity - Bettendorf Bettendorf · Davenport-Moline-Rock Island, IA-IL HC DRAIN/INJ JOINT/BURSA W/O US $532.76 $665.94 Nov 4, 2026
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Unity Healthcare Muscatine · Muscatine, IA HC DRAIN/INJ JOINT/BURSA W/O US $532.76 $665.94 Nov 4, 2026
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UnityPoint Health - Des Moines Iowa Methodist Medical Des Moines · Des Moines-West Des Moines, IA HC DRAIN/INJ JOINT/BURSA W/O US $533.10 $666.37 Nov 4, 2026
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Boone County Hospital one side Boone · Ames, IA Aspiration and/or injection of fluid from small joint $535.93 $669.91 Jul 27, 2026
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Jackson County Regional Health Center Maquoketa · Maquoketa, IA GHS INJ ASP SMALL JOINT FINGERS TOES $560.00 $560.00 Aug 11, 2026
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Allen Hospital Waterloo · Waterloo-Cedar Falls, IA HC DRAIN/INJ JOINT/BURSA W/O US $561.34 $701.67 Nov 4, 2026
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UnityPoint Health Marshalltown Marshalltown · Marshalltown, IA HC DRAIN/INJ JOINT/BURSA W/O US $561.34 $701.67 Nov 4, 2026
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University of Iowa Health Care Medical Center Down Iowa City · Iowa City, IA HB ARTHROCENTESIS, ASPIRATION OR INJECTION OF SMALL JOINT OR BURSA $588.00 $840.00 Mar 11, 2026
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University of Iowa Hospital & Clinics Iowa City · Iowa City, IA HB ARTHROCENTESIS, ASPIRATION OR INJECTION OF SMALL JOINT OR BURSA $588.00 $840.00 Mar 11, 2026
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Trinity Regional Medical Center Fort Dodge · Fort Dodge, IA HC DRAIN/INJ JOINT/BURSA W/O US $633.96 $792.44 Nov 4, 2026
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UnityPoint Health - Jones Regional Medical Center Anamosa · Cedar Rapids, IA HC DRAIN/INJ JOINT/BURSA W/O US $647.67 $809.58 Jan 28, 2026
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Sanford Sheldon Medical Center Sheldon · Sheldon, IA SURG 20600 ARTHROCENTESIS ASP INJ SM JNT BURSA WO US GUID $664.00 $830.00 Mar 4, 2026
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Guttenberg Municipal Hospital Guttenberg · Guttenberg, IA HC DRAIN/INJ JOINT/BURSA W/O US $677.60 $847.00 Mar 31, 2026
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Belmond Community Hospital Belmond · Belmond, IA Aspiration and/or injection of fluid from small joint $723.00 $1,205.00 Apr 22, 2026
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St Luke's Methodist Hospital Cedar Rapids · Cedar Rapids, IA HC DRAIN/INJ JOINT/BURSA W/O US $725.56 $906.94 Jan 28, 2026
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Iowa Specialty Hospital-Clarion Clarion · Clarion, IA Aspiration and/or injection of fluid from small joint $752.40 $1,254.00 Jun 11, 2026
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MercyOne Centerville Medical Center one side Centerville · Centerville, IA HC Arthrocentesis/Aspiration/Injection Small Joint/Bursa W/O Ultrasound Guidance Rt $799.00 $799.00 Mar 31, 2026
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Humboldt County Memorial Hospital Humboldt · Humboldt, IA HC DRAIN/INJ JOINT/BURSA W/O US $1,075.50 $1,195.00 Mar 30, 2026
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The Finley Hospital Dubuque · Dubuque, IA HC DRAIN/INJ JOINT/BURSA W/O US $1,100.00 $1,374.99 Nov 4, 2026
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MercyOne West Des Moines Medical Center one side West Des Moines · Des Moines-West Des Moines, IA HC Arthrocentesis/Aspiration/Injection Small Joint/Bursa W/O Ultrasound Guidance Lt $3,143.00 $3,143.00 Mar 31, 2026
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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
File date When the hospital last updated its price file, as the file says itself. A dash means the file gives no date.
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

By metro area

Each metro page compares every listing, including prices for both sides of the body.

Metro areaHospitalsLowestMedian
Waterloo-Cedar Falls, IA 6 $113.88 $341.38
Des Moines-West Des Moines, IA 5 $105.00 $118.40
Davenport-Moline-Rock Island, IA-IL 3 $251.40 $291.00
Omaha, NE-IA 3 $204.50 $214.20
Ames, IA 2 $210.40 $373.16
Carroll, IA 2 $134.00 $140.54
Cedar Rapids, IA 2 $490.40 $569.04
Clinton, IA 2 $165.75 $228.38
Iowa City, IA 2 $588.00 $588.00
Algona, IA 1 $413.10 $413.10
Audubon, IA 1 $205.00 $205.00
Belmond, IA 1 $723.00 $723.00
Britt, IA 1 $159.00 $159.00
Cedar Rapids, IA 1 $725.56 $725.56
Centerville, IA 1 $799.00 $799.00
Charles City, IA 1 $313.60 $313.60
Cherokee, IA 1 $190.80 $190.80
Clarinda, IA 1 $87.00 $87.00
Clarion, IA 1 $752.40 $752.40
Corning, IA 1 $184.05 $184.05
Corydon, IA 1 $261.00 $261.00
Decorah, IA 1 $98.70 $98.70
Denison, IA 1 $272.80 $272.80
Dubuque, IA 1 $1,100.00 $1,100.00
Fairfield, IA 1 $182.40 $182.40
Fort Dodge, IA 1 $633.96 $633.96
Greenfield, IA 1 $146.25 $146.25
Grinnell, IA 1 $331.40 $331.40
Guttenberg, IA 1 $677.60 $677.60
Hampton, IA 1 $212.40 $212.40
Harlan, IA 1 $66.70 $66.70
Harwarden, IA 1 $239.20 $239.20
Humboldt, IA 1 $1,075.50 $1,075.50
Iowa Falls, IA 1 $164.38 $164.38
Jefferson, IA 1 $442.40 $442.40
Keosauqua, IA 1 $212.10 $212.10
Lake City, IA 1 $413.00 $413.00
Leon, IA 1 $57.60 $57.60
Manchester, IA 1 $379.20 $379.20
Maquoketa, IA 1 $560.00 $560.00
Marshalltown, IA 1 $561.34 $561.34
Mason City, IA 1 $281.45 $281.45
Muscatine, IA 1 $532.76 $532.76
New Hampton, IA 1 $519.35 $519.35
Sac City, IA 1 $276.00 $276.00
Sheldon, IA 1 $664.00 $664.00
Shenandoah, IA 1 $109.85 $109.85
Sioux Center, IA 1 $65.96 $65.96
Sioux City, IA-NE-SD 1 $528.97 $528.97
Spencer, IA 1 $85.50 $85.50
Spirit Lake, IA 1 $85.50 $85.50
Storm Lake, IA 1 $337.60 $337.60
Waukon, IA 1 $274.17 $274.17
Webster City, IA 1 $280.00 $280.00
West Union, IA 1 $284.53 $284.53
Market A metro area (as the Census Bureau defines it) or, outside metro areas, a town. Each links to every hospital price there.
Hospitals How many hospitals publish a cash price for this code here. Each hospital counts once, at its lowest outpatient cash price.
Lowest The lowest cash price among those hospitals.
Median The middle cash price: half of the hospitals charge less, half charge more. One price per hospital. More

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

Joint injection or drainage, small joint (fingers, toes) in other states

Median cash price across the state's hospitals.