Surgery and procedures CPT 20605 Virginia Outpatient

Joint injection (medium joint) cost in Virginia

In Virginia, 51 hospitals publish a cash price for joint injection or drainage, medium joint (wrist, elbow, ankle): from $131.10 to $3,388.40, with a median of $421.50. The lowest price is at Bon Secours Southern Virginia Medical Center (Emporia) and 1 other hospital. The highest price is 25.8× the lowest.

  • The median here, $421.50, is 11% above the US median of $379.80.
  • That is 1.3× Medicare's 2026 national rate for the same service ($313.60).
  • Virginia ranks 33rd of 50 states by median, cheapest first.
  • Every hospital here lists a cash price below its full list price.

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 Oct 29, 2026. See them on a map

Lowest$131.10Bon Secours Southern Virginia Medical Center + 1 more
Median$421.50half of hospitals charge less
Highest$3,388.40in Virginia
Lowest saves$290.40vs the median

Hospitals in Virginia, cheapest first

HospitalCash priceList priceFile date
Bon Secours Southern Virginia Medical Center lowest Emporia · Emporia, VA HC Asp Inj Intermediate Joint $131.10 $437.00 Apr 1, 2026
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Bon Secours Southside Medical Center lowest Petersburg · Richmond, VA HC Asp Inj Intermediate Joint $131.10 $437.00 Apr 1, 2026
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Bon Secours Maryview Medical Center Portsmouth · Virginia Beach-Chesapeake-Norfolk, VA-NC HC Joint Injection/Aspir Medium WO US $186.00 $310.00 Apr 1, 2026
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Bon Secours Southampton Memorial Hospital Franklin · Roanoke, VA HC Asp Inj Intermediate Joint $189.00 $630.00 Apr 1, 2026
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Bath Community Hospital Hot Springs · Hot Springs, VA ARTHROCENTESIS INTERMEDI JOINT $227.30 $324.71 Mar 25, 2026
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Sentara Martha Jefferson Hospital Charlottesville · Charlottesville, VA Arthrocentisis-Int Jnt W/O Us $254.50 $509.00 Apr 1, 2026
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Sentara RMH Medical Center Harrisonburg · Harrisonburg, VA Arthrocentisis-Int Jnt W/O Us $254.50 $509.00 Apr 1, 2026
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Dickenson Community Hospital Clintwood · Clintwood, VA HC ARTHROCENTESIS ASP INJ INT JT W/O US GUID $261.97 $1,139.00 Mar 23, 2026
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Lee County Community Hospital Pennington Gap · Pennington Gap, VA HC ARTHROCENTESIS ASP INJ INT JT W/O US GUID $261.97 $1,139.00 Mar 23, 2026
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Bon Secours Memorial Regional Medical Center Mechanicsville · Richmond, VA HC Asp Inj Intermediate Joint $262.20 $437.00 Apr 1, 2026
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Bon Secours Richmond Community Hospital Richmond · Richmond, VA HC Asp Inj Intermediate Joint $262.20 $437.00 Apr 1, 2026
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Bon Secours St Francis Medical Center Midlothian · Richmond, VA HC Asp Inj Intermediate Joint $262.20 $437.00 Apr 1, 2026
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Bon Secours St Marys Hospital of Richmond Richmond · Richmond, VA HC Asp Inj Intermediate Joint $262.20 $437.00 Apr 1, 2026
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Johnston Memorial Hospital Abingdon · Kingsport-Bristol, TN-VA HC ARTHROCENTESIS ASP INJ INT JT W/O US GUID $267.00 $1,780.00 Mar 23, 2026
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Lonesome Pine Hospital Big Stone Gap · Big Stone Gap, VA HC ARTHROCENTESIS ASP INJ INT JT W/O US GUID $267.00 $1,780.00 Mar 23, 2026
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Russell County Hospital Lebanon · Lebanon, VA HC ARTHROCENTESIS ASP INJ INT JT W/O US GUID $267.00 $1,780.00 Mar 23, 2026
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Smyth County Community Hospital Marion · Marion, VA HC ARTHROCENTESIS ASP INJ INT JT W/O US GUID $267.00 $1,780.00 Mar 23, 2026
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Mary Washington Hospital Fredericksburg · Washington-Arlington-Alexandria, DC-VA-MD-WV Drain/inj joint/bursa w/o us $283.50 $567.00 Dec 30, 2024
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Stafford Hospital Stafford · Washington-Arlington-Alexandria, DC-VA-MD-WV Drain/inj joint/bursa w/o us $283.50 $567.00 Dec 30, 2024
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Riverside Smithfield Hospital Smithfield · Virginia Beach-Chesapeake-Norfolk, VA-NC Arthrocentesis Intermediate Joint W/O US $290.00 $580.00 Mar 11, 2026
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Augusta Health Fishersville · Staunton-Stuarts Draft, VA Inj Intermed Joint Or Bursa $291.00 $582.00 Apr 1, 2026
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Wythe County Community Hospital Wytheville · Wytheville, VA Arthrocentesis, aspiration and/or injection, intermediate joint or bursa (eg, temporomandibular, acromioclavicular, wrist, elbow or ankle, olecranon bursa); without ultrasound guidance $323.84 $809.59 Jul 10, 2026
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Sentara Halifax Regional Hospital South Boston · South Boston, VA Arthrocentisis-Int Jnt W/O Us $343.50 $687.00 Apr 1, 2026
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Rappahannock General Hospital Kilmarnock · Kilmarnock, VA HC Asp Inj Intermediate Joint $406.80 $678.00 Apr 1, 2026
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Hospital for Extended Recovery Norfolk · Virginia Beach-Chesapeake-Norfolk, VA-NC Arthrocentesis-Int Jnt W/O Us $421.50 $843.00 Apr 1, 2026
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Sentara Careplex Hospital Hampton · Virginia Beach-Chesapeake-Norfolk, VA-NC Arthrocentesis-Int Jnt W/O Us $421.50 $843.00 Apr 1, 2026
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Sentara Leigh Hospital Norfolk · Virginia Beach-Chesapeake-Norfolk, VA-NC Arthrocentesis-Int Jnt W/O Us $421.50 $843.00 Apr 1, 2026
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Sentara Norfolk General Hospital Norfolk · Virginia Beach-Chesapeake-Norfolk, VA-NC Arthrocentesis-Int Jnt W/O Us $421.50 $843.00 Apr 1, 2026
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Sentara Northern Virginia Medical Center Woodbridge · Washington-Arlington-Alexandria, DC-VA-MD-WV Arthrocentesis-Int Jnt W/O Us $421.50 $843.00 Apr 1, 2026
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Sentara Obici Hospital Suffolk · Suffolk, VA Arthrocentesis-Int Jnt W/O Us $421.50 $843.00 Apr 1, 2026
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Sentara Princess Anne Hospital Virginia Beach · Virginia Beach-Chesapeake-Norfolk, VA-NC Arthrocentesis-Int Jnt W/O Us $421.50 $843.00 Apr 1, 2026
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Sentara Virginia Beach General Hospital Virginia Beach · Virginia Beach-Chesapeake-Norfolk, VA-NC Arthrocentesis-Int Jnt W/O Us $421.50 $843.00 Apr 1, 2026
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Carilion Franklin Memorial Hospital one side Rocky Mt · Roanoke, VA HB ARTHROCENTESIS INTERMED JOI LT $477.40 $1,364.00 Dec 15, 2025
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Carilion Giles Community Hospital one side Roanoke · Roanoke, VA HB ARTHROCENTESIS INTERMED JOI LT $477.40 $1,364.00 Dec 15, 2025
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Carilion New River Valley Medical Center one side Christiansburg · Blacksburg-Christiansburg-Radford, VA HB SP ARTHROCENTESIS INTERM JNT LT $477.40 $1,364.00 Dec 15, 2025
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Carilion Roanoke Community Hospital one side Roanoke · Roanoke, VA HB ARTHROCENTESIS INTERMED JOI RT $477.40 $1,364.00 Dec 15, 2025
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Carilion Roanoke Memorial Hospital one side Roanoke · Roanoke, VA HB ARTHROCENTESIS INTERMED JOI RT $477.40 $1,364.00 Apr 17, 2026
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Carilion Rockbridge Community Hospital one side Lexington · Lexington, VA HB ARTHROCENTESIS INTERMED JOI RT $477.40 $1,364.00 Dec 15, 2025
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Carilion Tazewell Community Hospital Tazewell · Bluefield, WV-VA HB XR ARTHROCENTESIS INTER JOINT $477.40 $1,364.00 Dec 15, 2025
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Inova Alexandria Hospital Alexandria · Washington-Arlington-Alexandria, DC-VA-MD-WV HC INJ/ASP INTRMDT JNT/BURSA WO US GUID $478.00 $956.00 Apr 1, 2026
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Inova Fair Oaks Hospital Fairfax · Washington-Arlington-Alexandria, DC-VA-MD-WV HC INJ/ASP INTRMDT JNT/BURSA WO US GUID $478.00 $956.00 Apr 1, 2026
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Inova Fairfax Hospital Falls Church · Washington-Arlington-Alexandria, DC-VA-MD-WV HC INJ/ASP INTRMDT JNT/BURSA WO US GUID $478.00 $956.00 Apr 1, 2026
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Inova Loudoun Hospital Leesburg · Washington-Arlington-Alexandria, DC-VA-MD-WV HC INJ/ASP INTRMDT JNT/BURSA WO US GUID $478.00 $956.00 Apr 1, 2026
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Inova Mount Vernon Hospital Alexandria · Washington-Arlington-Alexandria, DC-VA-MD-WV HC INJ/ASP INTRMDT JNT/BURSA WO US GUID $478.00 $956.00 Apr 1, 2026
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Chesapeake General Hospital Chesapeake · Virginia Beach-Chesapeake-Norfolk, VA-NC Hc Asp Inj Intermediate Joint $512.17 $853.61 Jul 1, 2026
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Bon Secours Harbour View Medical Center Suffolk · Virginia Beach-Chesapeake-Norfolk, VA-NC HC Asp Inj Intermediate Joint $627.00 $1,045.00 Apr 1, 2026
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Mary Immaculate Hospital Newport News · Virginia Beach-Chesapeake-Norfolk, VA-NC HC Asp Inj Intermediate Joint $627.00 $1,045.00 Apr 1, 2026
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Twin County Regional Healthcare Galax · Galax, VA Arthrocentesis, aspiration and/or injection, intermediate joint or bursa (eg, temporomandibular, acromioclavicular, wrist, elbow or ankle, olecranon bursa); without ultrasound guidance $857.06 $2,142.64 Jul 10, 2026
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Children's Hospital of the King's Daughters Norfolk · Virginia Beach-Chesapeake-Norfolk, VA-NC DRN/INJ INT JNT/BRS-NO US $894.02 $993.35 Mar 17, 2026
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Sovah Health - Danville Danville · Danville, VA Arthrocentesis, aspiration and/or injection, intermediate joint or bursa (eg, temporomandibular, acromioclavicular, wrist, elbow or ankle, olecranon bursa); without ultrasound guidance $2,804.20 $7,010.50 Jul 11, 2026
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Sovah Health - Martinsville Martinsville · Martinsville, VA Arthrocentesis, aspiration and/or injection, intermediate joint or bursa (eg, temporomandibular, acromioclavicular, wrist, elbow or ankle, olecranon bursa); without ultrasound guidance $3,388.40 $8,471.00 Jul 10, 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

By metro area

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

Metro areaHospitalsLowestMedian
Virginia Beach-Chesapeake-Norfolk, VA-NC 12 $186.00 $421.50
Washington-Arlington-Alexandria, DC-VA-MD-WV 8 $283.50 $478.00
Richmond, VA 5 $131.10 $262.20
Roanoke, VA 5 $189.00 $477.40
Big Stone Gap, VA 1 $267.00 $267.00
Blacksburg-Christiansburg-Radford, VA 1 $477.40 $477.40
Bluefield, WV-VA 1 $477.40 $477.40
Clintwood, VA 1 $261.97 $261.97
Charlottesville, VA 1 $254.50 $254.50
Danville, VA 1 $2,804.20 $2,804.20
Emporia, VA 1 $131.10 $131.10
Galax, VA 1 $857.06 $857.06
Hot Springs, VA 1 $227.30 $227.30
Harrisonburg, VA 1 $254.50 $254.50
Kilmarnock, VA 1 $406.80 $406.80
Kingsport-Bristol, TN-VA 1 $267.00 $267.00
Lebanon, VA 1 $267.00 $267.00
Lexington, VA 1 $477.40 $477.40
Marion, VA 1 $267.00 $267.00
Martinsville, VA 1 $3,388.40 $3,388.40
Pennington Gap, VA 1 $261.97 $261.97
South Boston, VA 1 $343.50 $343.50
Suffolk, VA 1 $421.50 $421.50
Staunton-Stuarts Draft, VA 1 $291.00 $291.00
Wytheville, VA 1 $323.84 $323.84
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.