Surgery and procedures CPT 20605 Missouri Outpatient

Joint injection (medium joint) cost in Missouri

In Missouri, 61 hospitals publish a cash price for joint injection or drainage, medium joint (wrist, elbow, ankle): from $57.60 to $2,623.78, with a median of $338.65. The lowest price is at Pike County Memorial Hospital (Lousiana). The highest price is 45.6× the lowest.

  • The median here, $338.65, is 11% below the US median of $379.80.
  • That is 1.1× Medicare's 2026 national rate for the same service ($313.60).
  • Missouri ranks 21st of 50 states by median, cheapest first.
  • 5 of 61 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 8, 2026. See them on a map

Lowest$57.60Pike County Memorial Hospital
Median$338.65half of hospitals charge less
Highest$2,623.78in Missouri
Lowest saves$281.05vs the median

Hospitals in Missouri, cheapest first

HospitalCash priceList priceFile date
Pike County Memorial Hospital lowest Lousiana · Lousiana, MO 20605 Arthrocentesis, aspiration and/or injection, intermediate joint or bursa $57.60 $72.00 May 5, 2026
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Freeman Health System - Freeman West Joplin · Joplin, MO-KS ARTHROCENTESIS INTERMEDIATE $64.16 $160.39 Sep 1, 2026
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Freeman Health System - Freeman West Joplin · Joplin, MO-KS ARTHROCENTESIS INTERMEDIATE $64.16 $160.39 Sep 1, 2026
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Freeman Neosho Hospital Neosho · Joplin, MO-KS ARTHROCENTESIS INTERMEDIATE $64.16 $160.39 Sep 1, 2026
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Community Hospital Association Fairfax · Fairfax, MO BURSA INTER JOINT $65.10 $93.00 Aug 21, 2026
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Carroll County Memorial Hospital Carrollton · Carrollton, MO Arthrocentesis intermediate joint/bursa injection/aspiration $78.75 $105.00 Jul 7, 2024
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Ste. Genevieve County Memorial Hospital Ste. Genevieve · Ste. Genevieve, MO INTERMED JNT ARTHRO/INJ BURSA $79.25 $158.50 May 19, 2026
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Cox Medical Center Branson Branson · Branson, MO DRAIN/INJ JOINT/BURSA W/O US $99.51 $438.35 Apr 24, 2026
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Scotland County Memorial Hospital Memphis · Memphis, MO ASP/INJ INT JT WO US $105.70 $151.00 Oct 24, 2026
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Texas County Memorial Hospital Houston · Houston, MO ARTHRO/ASPIR/INJ INTER JNT W/O US $109.90 $157.00 Jul 17, 2026
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Lester E Cox Medical Centers Springfield · Springfield, MO DRAIN/INJ JOINT/BURSA W/O US $110.46 $438.35 Apr 24, 2026
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Nevada City Hospital Nevada · Nevada, MO RHC ASP/INJECT INT JT/BURSA W/O US-20605 $131.40 $292.00 Jan 14, 2025
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Citizens Memorial Hospital Bolivar · Springfield, MO DRAIN/INJ JOINT/BURSA W/O US $135.20 $169.00 Mar 25, 2026
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Hermann Area Hospital District Hermann · Hermann, MO Aspiration and/or injection of fluid from medium joint $136.80 $228.00 Oct 28, 2026
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Madison Medical Center Fredericktown · Fredericktown, MO ARTHROCENTESIS, ASPIR/INJ INTERMED JOINT $184.50 $205.00 Oct 13, 2026
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Phelps Health Rolla · Rolla, MO ASPIRATION AND/OR INJECTION OF FLUID FROM MEDIUM JOINT $199.92 $285.60 Feb 26, 2026
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Children's Mercy Hospital Kansas City · Kansas City, MO-KS DRAIN/INJ INTER JOINT/BURSA W/O US; TX RM OTO $209.28 $436.00 Apr 1, 2026
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Golden Valley Memorial Hospital one side Clinton · Clinton, MO ASPIRATION AND/OR INJECTION OF FLUID FROM MEDIUM JOINT $222.73 $371.22 Jul 1, 2026
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Moberly Regional Medical Center Moberly · Moberly, MO S-JOINT ASP-INJ IM $244.83 $906.78 Apr 1, 2026
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Lakewood Medical Center one side Kansas City · Kansas City, MO-KS 20605 Drain/Inj Med Joint wo US RT WP2 $249.48 $453.60 Aug 5, 2026
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University Health Truman Medical Center one side Kansas City · Kansas City, MO-KS 20605 Drain/Inj Med Joint w/o US LT ESM $249.48 $453.60 Aug 5, 2026
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Harrison County Community Hospital Bethany · Bethany, MO DRAIN/INJ JOINT/BURSA W/O US $274.30 $422.00 Oct 8, 2026
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Cox-Monett Hospital Monett · Monett, MO DRAIN/INJ JOINT/BURSA W/O US $297.10 $974.11 Apr 24, 2026
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Missouri Delta Medical Center Sikeston · Sikeston, MO ER Arthrocent, Aspir/Inj - Inter Tc $297.63 $1,190.50 Aug 7, 2026
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Mercy Hospital South Saint Louis · St. Louis, MO-IL Asp/Inj Intermed Jt WO US Guid $298.35 $459.00 Jun 10, 2026
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St Joseph Medical Center Kansas City · Kansas City, MO-KS Hc Drain/Inject Intermediate Joint/Bursa $305.00 $813.47 Mar 17, 2026
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Cox Barton County Hospital Lamar · Lamar, MO DRAIN/INJ JOINT/BURSA W/O US $310.74 $974.11 Apr 24, 2026
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Northeast Regional Medical Center Kirksville · Kirksville, MO S-JOINT ASP-INJ IM $324.17 $1,350.69 Apr 1, 2026
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Mercy Hospital Carthage Carthage · Joplin, MO-KS Asp/Inj Intermed Jt WO US Guid $332.15 $511.00 Jun 9, 2026
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Western Missouri Medical Center Warrensburg · Warrensburg, MO 20605 INTERMEDIATE JOINT BURSA INJ. TECH CHARGE $335.20 $335.20 Apr 1, 2026
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Mercy Hospital Washington Washington · St. Louis, MO-IL Asp/Inj Interm Jt W/O US Guid $338.65 $521.00 Jun 10, 2026
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Mercy Hospital Southeast Cape Girardeau · Cape Girardeau, MO-IL Asp/Inj Intermed Jt WO US Guid $339.95 $523.00 Jun 11, 2026
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Poplar Bluff Regional Medical Center Poplar Bluff · Poplar Bluff, MO S-JOINT ASP-INJ IM $342.84 $1,632.58 Apr 1, 2026
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Liberty Hospital Liberty · Kansas City, MO-KS 7S DRAIN/INJ INTERM JNT/B $343.00 $1,231.00 Jul 9, 2026
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Mercy Perry Perryville · Perryville, MO Asp/Inj Intermed Jt WO US Guid $343.20 $528.00 Mar 12, 2026
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Mercy Hospital Aurora Aurora · Aurora, MO Asp/Inj Intermed Jt WO US Guid $353.60 $544.00 Jun 10, 2026
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Mercy Hospital Cassville Cassville · Cassville, MO Asp/Inj Intermed Jt WO US Guid $353.60 $544.00 Jun 10, 2026
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Fitzgibbon Hospital Marshall · Marshall, MO Aspiration and/or injection of fluid from medium joint $365.93 $457.41 Feb 2, 2026
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Bates County Memorial Hospital Butler · Kansas City, MO-KS DRAIN/INJECT JOINT/BURSA $380.10 $543.00 Apr 20, 2026
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Curators of the University of Missouri Columbia · Columbia, MO ARTHROCENTESIS ASPIRATN &/INJECT INTMD JNT/BURSA WO US-JMOI $393.00 $655.00 Dec 15, 2025
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Mercy Hospital Lebanon Lebanon · Lebanon, MO Asp/Inj Intermed Jt WO US Guid $416.00 $640.00 Jun 10, 2026
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Mercy Hospital Lincoln Troy · St. Louis, MO-IL Asp/Inj Interm Jt W/O US Guid $416.65 $641.00 Jun 10, 2026
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Cass Regional Medical Center Harrisonville · Kansas City, MO-KS Inj Aspiration Interm Joint $431.87 $616.95 Apr 7, 2026
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Mercy Hospital Springfield Springfield · Springfield, MO Asp/Inj Intermed Jt WO US Guid $442.00 $680.00 Jun 4, 2026
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Mercy Orthopedic Hospital Springfield Ozark · Springfield, MO Asp/Inj Intermed Jt WO US Guid $442.00 $680.00 Jun 4, 2026
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Mercy Hospital Joplin Joplin · Joplin, MO-KS Asp/Inj Intermed Jt WO US Guid $464.75 $715.00 Jun 9, 2026
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Bothwell Regional Health Center Sedalia · Sedalia, MO DRAIN/INJ JOINT/BURSA W/O US $489.75 $653.00 Mar 26, 2026
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Mercy Hospital St Louis Saint Louis · St. Louis, MO-IL Asp/Inj Intermed Jt WO US Guid $531.05 $817.00 Jun 4, 2026
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Mercy Hospital Stoddard Dexter · Dexter, MO Asp/Inj Intermed Jt WO US Guid $575.25 $885.00 Jun 11, 2026
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Heartland Long Term Acute Hospital St. Joseph · St. Joseph, MO-KS HC ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/O US $637.50 $750.00 Jun 23, 2026
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Mosaic Life Care at St Joseph Medical Center St. Joseph · St. Joseph, MO-KS HC ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/O US $637.50 $750.00 Sep 26, 2025
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Mosaic Medical Center Albany Albany · Albany, MO HC ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/O US $637.50 $750.00 Sep 26, 2025
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Mosaic Medical Center Maryville Maryville · Maryville, MO HC ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/O US $637.50 $750.00 Sep 26, 2025
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Lake Regional Health System Osage Beach · Osage Beach, MO Drain/inj joint/bursa w/o us $726.60 $2,422.00 Oct 15, 2026
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NKC Health North Kansas City · Kansas City, MO-KS Aspiration or Inject Joint Bursa $734.57 $2,533.00 Mar 6, 2026
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Mercy Hospital Jefferson Festus · St. Louis, MO-IL Asp/Inj Intermed Jt WO US Guid $765.05 $1,177.00 Jun 10, 2026
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Sullivan County Memorial Hospital Milan · Milan, MO ARTHO INTERM JOINT/INJECT W/O US $816.00 $816.00 Jul 1, 2026
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Boone Hospital Center Columbia · Columbia, MO ASP/INJ INT JNT/BRSA W/O GUID $996.60 $1,661.00 Apr 1, 2026
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Saint Francis Medical Center Cape Girardeau · Cape Girardeau, MO-IL Hc Im Joint Asp/Inj $998.00 $998.00 Apr 1, 2026
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Shriners Childrens - St Louis Saint Louis · St. Louis, MO-IL DRAIN/INJ JOINT/BURSA W/O US $1,282.23 $1,282.23 Mar 18, 2026
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Centerpoint Medical Center one side Independence · Kansas City, MO-KS ARTH JNTBRS INT WO US LT $2,623.78 $2,623.78 Sep 1, 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
Kansas City, MO-KS 9 $209.28 $343.00
St. Louis, MO-IL 6 $298.35 $473.85
Joplin, MO-KS 5 $64.16 $64.16
Springfield, MO 4 $110.46 $288.60
Cape Girardeau, MO-IL 2 $339.95 $668.98
Columbia, MO 2 $393.00 $694.80
St. Joseph, MO-KS 2 $637.50 $637.50
Albany, MO 1 $637.50 $637.50
Aurora, MO 1 $353.60 $353.60
Bethany, MO 1 $274.30 $274.30
Branson, MO 1 $99.51 $99.51
Carrollton, MO 1 $78.75 $78.75
Cassville, MO 1 $353.60 $353.60
Clinton, MO 1 $222.73 $222.73
Dexter, MO 1 $575.25 $575.25
Fairfax, MO 1 $65.10 $65.10
Fredericktown, MO 1 $184.50 $184.50
Hermann, MO 1 $136.80 $136.80
Houston, MO 1 $109.90 $109.90
Kirksville, MO 1 $324.17 $324.17
Lamar, MO 1 $310.74 $310.74
Lousiana, MO 1 $57.60 $57.60
Lebanon, MO 1 $416.00 $416.00
Memphis, MO 1 $105.70 $105.70
Milan, MO 1 $816.00 $816.00
Monett, MO 1 $297.10 $297.10
Marshall, MO 1 $365.93 $365.93
Maryville, MO 1 $637.50 $637.50
Moberly, MO 1 $244.83 $244.83
Nevada, MO 1 $131.40 $131.40
Osage Beach, MO 1 $726.60 $726.60
Perryville, MO 1 $343.20 $343.20
Poplar Bluff, MO 1 $342.84 $342.84
Rolla, MO 1 $199.92 $199.92
Ste. Genevieve, MO 1 $79.25 $79.25
Sedalia, MO 1 $489.75 $489.75
Sikeston, MO 1 $297.63 $297.63
Warrensburg, MO 1 $335.20 $335.20
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.