Surgery and procedures CPT 20605 Iowa Outpatient

Joint injection (medium joint) cost in Iowa

In Iowa, 75 hospitals publish a cash price for joint injection or drainage, medium joint (wrist, elbow, ankle): from $67.90 to $68,753.66, with a median of $346.20. The lowest price is at Sioux Center Health (Sioux Center). The highest price is 1012.6× the lowest.

  • The median here, $346.20, is 9% below the US median of $379.80.
  • That is 1.1× Medicare's 2026 national rate for the same service ($313.60).
  • Iowa ranks 24th of 50 states by median, cheapest first.
  • 8 of 75 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 20605. Prices for both sides of the body and inpatient prices are not mixed in. Collected Nov 7, 2026. See them on a map

Lowest$67.90Sioux Center Health
Median$346.20half of hospitals charge less
Highest$68,753.66in Iowa
Lowest saves$278.30vs the median

Hospitals in Iowa, cheapest first

HospitalCash priceList priceFile date
Sioux Center Health one side lowest Sioux Center · Sioux Center, IA $67.90 $70.00 Apr 1, 2026
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Shelby County Chris A Myrtue Memorial Hospital Harlan · Harlan, IA Aspiration and/or injection of fluid from medium joint $76.56 $132.00 Apr 21, 2026
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Clarinda Regional Health Center Clarinda · Clarinda, IA Aspiration and/or injection of fluid from medium joint $78.00 $104.00 Oct 23, 2026
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Community Memorial Hospital Medical Center Sumner · Waterloo-Cedar Falls, IA HC DRAIN/INJ INTERM JNT/BURSA $86.29 $107.87 Jun 18, 2026
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Decatur County Hospital Leon · Leon, IA Aspiration and/or injection of fluid from medium joint $87.20 $109.00 Mar 4, 2026
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Spencer Municipal Hospital one side Spencer · Spencer, IA Asp/Inj Intermediate Joint LT $96.00 $128.00 Jan 1, 2026
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Hancock County Health System Britt · Britt, IA Aspiration and/or injection of fluid from medium joint $97.50 $130.00 Oct 20, 2026
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Kossuth Regional Health Center Algona · Algona, IA Aspiration and/or injection of fluid from medium joint $108.00 $135.00 Jul 16, 2026
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Broadlawns Medical Center Des Moines · Des Moines-West Des Moines, IA Aspiration/Inj Intermed Joint $111.00 $111.00 Sep 1, 2026
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Shenandoah Medical Center Shenandoah · Shenandoah, IA Aspiration and/or injection of fluid from medium joint $111.15 $171.00 Sep 21, 2026
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Lakes Regional Hospital one side Spirit Lake · Spirit Lake, IA $120.65 $127.00 Apr 1, 2026
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Madison County Memorial Hospital Winterset · Des Moines-West Des Moines, IA Aspiration and/or injection of fluid from medium joint $120.80 $151.00 Oct 21, 2026
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Waverly Health Center Waverly · Waterloo-Cedar Falls, IA Aspiration and/or injection of fluid from medium joint $123.24 $237.00 Oct 19, 2026
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Adair County Memorial Hospital Greenfield · Greenfield, IA Aspiration and/or injection of fluid from medium joint $131.25 $175.00 Sep 2, 2026
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St Anthony Regional Hospital and Nursing Home Carroll · Carroll, IA Aspiration and/or injection of fluid from medium joint $138.00 $138.00 Nov 3, 2026
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Story County Hospital Nevada · Ames, IA PR ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/O US $140.80 $176.00 Mar 30, 2026
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Dallas County Hospital Perry · Des Moines-West Des Moines, IA PANORA-ASP/INJ JNT INTERM(WRIST,ANK,ELB) $149.00 $229.00 May 29, 2026
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Hansen Family Hospital Iowa Falls · Iowa Falls, IA Aspiration and/or injection of fluid from medium joint $158.29 $158.29 Jul 10, 2026
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Manning Regional Healthcare Center Manning · Carroll, IA Aspiration and/or injection of fluid from medium joint $160.80 $240.00 Oct 16, 2026
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MercyOne Clinton Medical Center one side Clinton · Clinton, IA HC Arthrocentesis/Aspiration/Injection Intermediate Joint/Bursa W/O Ultrasound Guidance Rt $165.75 $255.00 Mar 31, 2026
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Audubon County Memorial Hospital Audubon · Audubon, IA Aspiration and/or injection of fluid from medium joint $205.00 $205.00 Sep 14, 2026
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Methodist Jennie Edmundson Hospital Council Bluffs · Omaha, NE-IA Arthrocentesis intermediate joint or bursa $207.90 $693.00 Feb 15, 2026
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Boone County Hospital Boone · Ames, IA Aspiration and/or injection of fluid from medium joint $212.00 $265.00 Jul 27, 2026
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Rawford County Memorial Hospital Denison · Denison, IA Aspiration and/or injection of fluid from medium joint $217.60 $272.00 Jul 27, 2026
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Cherokee Regional Medical Center Cherokee · Cherokee, IA HC DRAIN/INJ INTERM JNT/BURSA $218.70 $243.00 Mar 31, 2026
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Franklin General Hospital Hampton · Hampton, IA Aspiration and/or injection of fluid from medium joint $221.40 $246.00 Nov 3, 2026
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Wayne County Hospital Corydon · Corydon, IA Aspiration and/or injection of fluid from medium joint $224.00 $224.00 Jun 10, 2026
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Hawarden Regional Healthcare Harwarden · Harwarden, IA INTER JT CYST $239.20 $281.41 Apr 24, 2026
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Alegent Health - Mercy Hospital, Corning Iowa Corning · Corning, IA HC ASPIRATE INJ INTERMED JOINT $262.35 $583.00 Sep 30, 2026
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CHI Health Mercy Council Bluffs Council Bluffs · Omaha, NE-IA HC ASPIRATE INJ INTERMED JOINT $264.45 $615.00 Sep 30, 2026
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MercyOne North Iowa Medical Center Mason City · Mason City, IA HC Arthrocentesis/Aspiration/Injection Intermediate Joint/Bursa W/O Ultrasound Guidance $271.70 $418.00 Mar 31, 2026
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Alegent Health Community Memorial Hospital of Missouri Valley, Iowa Missouri Valley · Omaha, NE-IA HC ASPIRATE INJ INTERMED JOINT $291.50 $583.00 Sep 30, 2026
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Van Diest Medical Center Webster City · Webster City, IA DRAIN/INJ JOINT/BURSA W/O US $300.80 $376.00 Feb 5, 2026
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MercyOne Genesis Davenport West Medical Center Davenport · Davenport-Moline-Rock Island, IA-IL GHS INJ/ASP MED JOINT WRIST ELB ANKLE $301.20 $502.00 Mar 31, 2026
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Floyd County Memorial Hospital Commission Charles City · Charles City, IA Aspiration and/or injection of fluid from medium joint $313.60 $784.00 Sep 30, 2026
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Gundersen Palmer Lutheran Hospital and Clinic West Union · West Union, IA HCHG 20605 ARTHROCENTESIS,ASP/INJ, INT JNT $339.17 $571.00 Jun 27, 2026
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Loring Hospital Sac City · Sac City, IA HC DRAIN/INJ INTERM JNT/BURSA $344.00 $430.00 Aug 25, 2026
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Jefferson County Hospital Fairfield · Fairfield, IA Aspiration and/or injection of fluid from medium joint $346.20 $577.00 Aug 20, 2026
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MercyOne Genesis Davenport Medical Center Davenport · Davenport-Moline-Rock Island, IA-IL GHS INJ/ASP MED JOINT WRIST ELB ANKLE $348.00 $580.00 Mar 31, 2026
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MercyOne Genesis DeWitt Medical Center Dewitt · Clinton, IA GHS INJ INTERM JOINT BURSA GANG $348.00 $580.00 Mar 31, 2026
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Buena Vista Regional Medical Center Storm Lake · Storm Lake, IA HC DRAIN/INJ INTERM JNT/BURSA $366.40 $458.00 Mar 31, 2026
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Allen Hospital Waterloo · Waterloo-Cedar Falls, IA HC DRAIN/INJ INTERM JNT/BURSA $376.20 $470.25 Nov 4, 2026
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UnityPoint Health Marshalltown Marshalltown · Marshalltown, IA HC DRAIN/INJ INTERM JNT/BURSA $376.20 $470.25 Nov 4, 2026
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Regional Medical Center one side Manchester · Manchester, IA DRAIN/INJ JOINT/BURSA W/O US $379.20 $474.00 Feb 20, 2026
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Cass County Memorial Hospital Atlantic · Atlantic, IA Aspiration and/or injection of fluid from medium joint $380.80 $544.00 Jun 1, 2026
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Stewart Memorial Community Hospital Lake City · Lake City, IA DRAIN/INJ INTERM JNT/BURSA $382.00 $478.00 Oct 8, 2024
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WinnMed Decorah · Decorah, IA Aspiration and/or injection of fluid from medium joint $389.20 $556.00 Oct 13, 2026
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Grundy County Memorial Hospital Grundy Center · Waterloo-Cedar Falls, IA HC DRAIN/INJ INTERM JNT/BURSA $436.80 $546.00 Jun 29, 2026
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UnityPoint Health - Des Moines Iowa Methodist Medical Des Moines · Des Moines-West Des Moines, IA HC DRAIN/INJ INTERM JNT/BURSA $437.92 $547.40 Nov 4, 2026
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Veterans Memorial Hospital City of Waukon Ia Waukon · Waukon, IA Aspiration and/or injection of fluid from medium joint $456.57 $801.00 Oct 8, 2026
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The Finley Hospital Dubuque · Dubuque, IA HC DRAIN/INJ INTERM JNT/BURSA $471.12 $588.89 Nov 4, 2026
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MercyOne Des Moines Medical Center one side Des Moines · Des Moines-West Des Moines, IA HC Arthrocentesis/Aspiration/Injection Intermediate Joint/Bursa W/O Ultrasound Guidance Rt $482.95 $743.00 Mar 31, 2026
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Greene County Medical Center Jefferson · Jefferson, IA HC DRAIN/INJ INTERM JNT/BURSA $486.08 $868.00 Mar 26, 2026
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Virginia Gay Hospital Vinton · Cedar Rapids, IA Aspiration and/or injection of fluid from medium joint $500.00 $625.00 Aug 13, 2026
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Grinnell Regional Medical Center Grinnell · Grinnell, IA HC DRAIN/INJ INTERM JNT/BURSA $526.97 $658.71 Nov 4, 2026
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St Lukes Regional Medical Center Sioux City · Sioux City, IA-NE-SD HC DRAIN/INJ INTERM JNT/BURSA $528.97 $661.21 Nov 4, 2026
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Trinity - Bettendorf Bettendorf · Davenport-Moline-Rock Island, IA-IL HC DRAIN/INJ INTERM JNT/BURSA $532.76 $665.94 Nov 4, 2026
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Unity Healthcare Muscatine · Muscatine, IA HC DRAIN/INJ INTERM JNT/BURSA $532.76 $665.94 Nov 4, 2026
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Jackson County Regional Health Center Maquoketa · Maquoketa, IA GHS INJ ASP MED JOINT WRIST ELB ANKLE $633.00 $633.00 Aug 11, 2026
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Trinity Regional Medical Center Fort Dodge · Fort Dodge, IA HC DRAIN/INJ INTERM JNT/BURSA $633.96 $792.44 Nov 4, 2026
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Avera Holy Family Hospital one side Estherville · Estherville, IA $637.29 $657.00 —
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UnityPoint Health - Jones Regional Medical Center Anamosa · Cedar Rapids, IA HC DRAIN/INJ INTERM JNT/BURSA $647.67 $809.58 Jan 28, 2026
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Mercy Medical Center - New Hampton New Hampton · New Hampton, IA HC Arthrocentesis/Aspiration/Injection Intermediate Joint/Bursa W/O Ultrasound Guidance $649.35 $999.00 Mar 31, 2026
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MercyOne Waterloo Medical Center one side Waterloo · Waterloo-Cedar Falls, IA HC Arthrocentesis/Aspiration/Injection Intermediate Joint/Bursa W/O Ultrasound Guidance Lt $650.00 $1,000.00 Mar 31, 2026
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Guttenberg Municipal Hospital Guttenberg · Guttenberg, IA HC DRAIN/INJ INTERM JNT/BURSA $677.60 $847.00 Mar 31, 2026
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University of Iowa Health Care Medical Center Down Iowa City · Iowa City, IA HB ARTHROCENTESIS, ASPIRATION OR INJECTION INTERMEDIATE JOINT OR BURSA $686.70 $981.00 Mar 11, 2026
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University of Iowa Hospital & Clinics Iowa City · Iowa City, IA HB ARTHROCENTESIS, ASPIRATION OR INJECTION INTERMEDIATE JOINT OR BURSA $686.70 $981.00 Mar 11, 2026
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Sanford Sheldon Medical Center Sheldon · Sheldon, IA SURG 20605 ARTHROCENTESIS ASP INJ INTRM JNT BURSA WO US GUID $689.60 $862.00 Mar 4, 2026
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St Luke's Methodist Hospital Cedar Rapids · Cedar Rapids, IA HC DRAIN/INJ INTERM JNT/BURSA $762.10 $952.62 Jan 28, 2026
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MercyOne West Des Moines Medical Center West Des Moines · Des Moines-West Des Moines, IA HC Arthrocentesis/Aspiration/Injection Intermediate Joint/Bursa W/O Ultrasound Guidance $767.00 $767.00 Mar 31, 2026
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Belmond Community Hospital Belmond · Belmond, IA Aspiration and/or injection of fluid from medium joint $796.20 $1,327.00 Apr 22, 2026
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Iowa Specialty Hospital-Clarion Clarion · Clarion, IA Aspiration and/or injection of fluid from medium joint $828.00 $1,380.00 Jun 11, 2026
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MercyOne Centerville Medical Center one side Centerville · Centerville, IA HC Arthrocentesis/Aspiration/Injection Intermediate Joint/Bursa W/O Ultrasound Guidance Lt $999.00 $999.00 Mar 31, 2026
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Humboldt County Memorial Hospital Humboldt · Humboldt, IA HC DRAIN/INJ INTERM JNT/BURSA $1,075.50 $1,195.00 Mar 30, 2026
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Sartori Memorial Hospital one side Cedar Falls · Waterloo-Cedar Falls, IA HC Arthrocentesis/Aspiration/Injection Intermediate Joint/Bursa W/O Ultrasound Guidance Rt $68,753.66 — 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
Des Moines-West Des Moines, IA 6 $111.00 $293.46
Waterloo-Cedar Falls, IA 6 $86.29 $406.50
Davenport-Moline-Rock Island, IA-IL 3 $301.20 $348.00
Omaha, NE-IA 3 $207.90 $264.45
Ames, IA 2 $140.80 $176.40
Carroll, IA 2 $138.00 $149.40
Cedar Rapids, IA 2 $500.00 $573.84
Clinton, IA 2 $165.75 $256.88
Iowa City, IA 2 $686.70 $686.70
Algona, IA 1 $108.00 $108.00
Atlantic, IA 1 $380.80 $380.80
Audubon, IA 1 $205.00 $205.00
Belmond, IA 1 $796.20 $796.20
Britt, IA 1 $97.50 $97.50
Cedar Rapids, IA 1 $762.10 $762.10
Centerville, IA 1 $999.00 $999.00
Charles City, IA 1 $313.60 $313.60
Cherokee, IA 1 $218.70 $218.70
Clarinda, IA 1 $78.00 $78.00
Clarion, IA 1 $828.00 $828.00
Corning, IA 1 $262.35 $262.35
Corydon, IA 1 $224.00 $224.00
Decorah, IA 1 $389.20 $389.20
Denison, IA 1 $217.60 $217.60
Dubuque, IA 1 $471.12 $471.12
Estherville, IA 1 $637.29 $637.29
Fairfield, IA 1 $346.20 $346.20
Fort Dodge, IA 1 $633.96 $633.96
Greenfield, IA 1 $131.25 $131.25
Grinnell, IA 1 $526.97 $526.97
Guttenberg, IA 1 $677.60 $677.60
Hampton, IA 1 $221.40 $221.40
Harlan, IA 1 $76.56 $76.56
Harwarden, IA 1 $239.20 $239.20
Humboldt, IA 1 $1,075.50 $1,075.50
Iowa Falls, IA 1 $158.29 $158.29
Jefferson, IA 1 $486.08 $486.08
Lake City, IA 1 $382.00 $382.00
Leon, IA 1 $87.20 $87.20
Manchester, IA 1 $379.20 $379.20
Maquoketa, IA 1 $633.00 $633.00
Marshalltown, IA 1 $376.20 $376.20
Mason City, IA 1 $271.70 $271.70
Muscatine, IA 1 $532.76 $532.76
New Hampton, IA 1 $649.35 $649.35
Sac City, IA 1 $344.00 $344.00
Sheldon, IA 1 $689.60 $689.60
Shenandoah, IA 1 $111.15 $111.15
Sioux Center, IA 1 $67.90 $67.90
Sioux City, IA-NE-SD 1 $528.97 $528.97
Spencer, IA 1 $96.00 $96.00
Spirit Lake, IA 1 $120.65 $120.65
Storm Lake, IA 1 $366.40 $366.40
Waukon, IA 1 $456.57 $456.57
Webster City, IA 1 $300.80 $300.80
West Union, IA 1 $339.17 $339.17
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 (medium joint) is, what the price covers and why prices differ: Joint injection (medium joint) explained.

Joint injection or drainage, medium joint (wrist, elbow, ankle) in other states

Median cash price across the state's hospitals.