Joint injection (medium joint) cost in Washington
In Washington, 51 hospitals publish a cash price for joint injection or drainage, medium joint (wrist, elbow, ankle): from $57.85 to $1,455.70, with a median of $457.47. The lowest price is at Astria Toppenish Hospital (Toppenish). The highest price is 25.2× the lowest.
- The median here, $457.47, is 20% above the US median of $379.80.
- That is 1.5× Medicare's 2026 national rate for the same service ($313.60).
- Washington ranks 37th of 50 states by median, cheapest first.
- 5 of 51 hospitals list a cash price equal to their full list price, with no self-pay discount.
Washington law (RCW 70.170.060) requires hospital charity care: patients with family income up to 300% of the federal poverty level owe nothing at hospitals in large health systems (200% at other hospitals), with 75% and 50% discounts up to 400% (300% at other hospitals). It covers the part of the bill a patient owes, insured or not. Ask the hospital for its charity care application. Other states' laws.
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 11, 2026. See them on a map
Lowest$57.85Astria Toppenish Hospital
Median$457.47half of hospitals charge less
Highest$1,455.70in Washington
Lowest saves$399.62vs the median
Hospitals in Washington, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| Astria Toppenish Hospital lowest Toppenish · Yakima, WA 20605 Arthrocentesis, aspiration and/or injection, | $57.85 | $89.00 | Apr 1, 2026 source file |
| Astria Sunnyside Hospital Sunnyside · Kennewick-Richland, WA ARTHROCENT ASP/INJ MED JT | $79.23 | $139.00 | Apr 1, 2026 source file |
| Providence Mount Carmel Hospital Colville · Spokane-Spokane Valley, WA HC PR ED 20605 DRAIN/INJECT JOINT/BURSA INTERM W/O ULTRASOUND GUIDANCE CDM | $81.90 | $117.00 | Apr 1, 2026 source file |
| Providence St Joseph Hospital Chewelah · Spokane-Spokane Valley, WA HC PR ED 20605 DRAIN/INJECT JOINT/BURSA INTERM W/O ULTRASOUND GUIDANCE CDM | $81.90 | $117.00 | Apr 1, 2026 source file |
| Prosser Memorial Health Hospital Prosser · Kennewick-Richland, WA HC PR 20605 ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/O US RHC | $89.65 | $163.00 | Jan 1, 2025 source file |
| Swedish Edmonds Edmonds · Seattle-Tacoma-Bellevue, WA HC DRAIN/INJECT JOINT/BURSA INTERMED | $113.28 | $236.00 | Apr 1, 2026 source file |
| Providence St Mary Medical Center Walla Walla · Walla Walla, WA HC PR ED 20605 DRAIN/INJECT JOINT/BURSA INTERM W/O ULTRASOUND GUIDANCE CDM | $118.30 | $169.00 | Apr 1, 2026 source file |
| Klickitat Valley Hospital Goldendale · Goldendale, WA Arthrocentesis Med Joint RHC | $120.00 | $150.00 | Dec 2, 2024 source file |
| Quincy Valley Medical Center Quincy · Moses Lake, WA Aspiration and/or injection of fluid from medium joint | $132.33 | $132.33 | May 27, 2026 source file |
| Kittitas County Public Hospital Dist 1 Ellensburg · Ellensburg, WA Aspiration and/or injection of fluid from medium joint | $136.85 | $161.00 | Oct 7, 2026 source file |
| Ferry County Memorial Hospital Republic · Republic, WA DRAIN/INJ INTER JOINT W/O US | $157.25 | $185.00 | Sep 14, 2026 source file |
| Cascade Medical Center Leavenworth · Wenatchee-East Wenatchee, WA Asp/inj joint/bursa w/o us | $163.20 | $204.00 | May 15, 2026 source file |
| Samaritan Hospital Moses Lake · Moses Lake, WA HC PR 20605 Arthrocentesis Aspir&/Inj Interm Jt/Burs W/O US Rhc | $206.00 | $206.00 | Jan 4, 2026 source file |
| Othello Community Hospital Othello · Othello, WA Aspiration and/or injection of fluid from medium joint | $230.44 | $307.25 | Jul 1, 2026 source file |
| Willapa Harbor Hospital South Bend · South Bend, WA ASPIRATION AND/OR INJECTION OF FLUID FROM MEDIUM JOINT | $239.40 | $342.00 | Feb 24, 2026 source file |
| Skagit Valley Hospital Mount Vernon · Mount Vernon-Anacortes, WA HC DRAIN/INJ INTMED JOINT/BURSA W/O US | $264.80 | $331.00 | Mar 26, 2026 source file |
| Valley Medical Center Renton · Seattle-Tacoma-Bellevue, WA Arthrocentesis Aspir&/Inj Interm Jt/Burs W/O US | $280.31 | $400.45 | Mar 12, 2026 source file |
| Arbor Health Morton Hospital Morton · Centralia, WA Aspiration and/or injection of fluid from medium joint | $310.00 | $500.00 | May 18, 2026 source file |
| Whitman Hospital and Medical Center Colfax · Pullman, WA Aspiration and/or injection of fluid from medium joint | $328.00 | $410.00 | Jun 29, 2026 source file |
| Confluence Health Hospital Wenatchee · Wenatchee-East Wenatchee, WA HC Arthrocentesis Aspir&/Inj Interm Jt/Burs W/O US--Pbb | $328.50 | $365.00 | Aug 10, 2026 source file |
| East Adams Rural Healthcare Ritzville · Othello, WA HC ARTHROCENTESIS INTER JOINT OR BURSA W/O US GUIDANCE | $333.90 | $445.20 | Jun 1, 2026 source file |
| Olympic Medical Center Port Angeles · Port Angeles, WA Aspiration and/or injection of fluid from medium joint | $360.00 | $450.00 | Jun 24, 2026 source file |
| Legacy Salmon Creek Medical Center Vancouver · Portland-Vancouver-Hillsboro, OR-WA HC ARTHROCENTESIS INJ OR ASP INTERMED JOINT/BURSA W/FLUORO GUIDANCE | $378.30 | $582.00 | Apr 1, 2026 source file |
| Summit Pacific Medical Center Elma · Aberdeen, WA Aspiration and/or injection of fluid from medium joint | $383.40 | $710.00 | Aug 31, 2026 source file |
| Lincoln Hospital Davenport · Davenport, WA Aspiration and/or injection of fluid from medium joint | $416.98 | $463.31 | Sep 14, 2026 source file |
| Virginia Mason Medical Center Seattle · Seattle-Tacoma-Bellevue, WA ARTHROCENTESIS, ASP/INJ, INTERMEDIATE JOINT OR BURSA W/O US | $457.47 | $897.00 | Jan 1, 2026 source file |
| Pullman Regional Hospital Pullman · Pullman, WA Aspiration and/or injection of fluid from medium joint | $460.70 | $542.00 | Jun 9, 2026 source file |
| Snoqualmie Valley Hospital Snoqualmie · Seattle-Tacoma-Bellevue, WA Facility Fee HC ARTHROCENTESIS INTMD JT/BURSA | $465.43 | $802.47 | Apr 14, 2026 source file |
| Overlake Medical Center & Clinics Bellevue · Seattle-Tacoma-Bellevue, WA Hc Arthrocentesis Intmd Jt/Bursa | $472.00 | $944.00 | Apr 1, 2026 source file |
| Swedish Issaquah Issaquah · Seattle-Tacoma-Bellevue, WA HC DRAIN/INJECT JOINT/BURSA INTERMED | $473.76 | $987.00 | Apr 1, 2026 source file |
| Swedish Medical Center Seattle · Seattle-Tacoma-Bellevue, WA HC DRAIN/INJECT JOINT/BURSA INTERM W/O ULTRASOUND GUIDANCE | $473.76 | $987.00 | Apr 1, 2026 source file |
| Swedish Medical Center / Cherry Hill Seattle · Seattle-Tacoma-Bellevue, WA HC DRAIN/INJECT JOINT/BURSA INTERM W/O ULTRASOUND GUIDANCE | $473.76 | $987.00 | Apr 1, 2026 source file |
| PeaceHealth Peace Island Medical Center Friday Harbor · Friday Harbor, WA ASPIRATION AND/OR INJECTION OF FLUID FROM MEDIUM JOINT | $507.00 | $780.00 | Mar 20, 2026 source file |
| PeaceHealth Southwest Medical Center Vancouver · Portland-Vancouver-Hillsboro, OR-WA ASPIRATION AND/OR INJECTION OF FLUID FROM MEDIUM JOINT | $517.40 | $796.00 | Mar 20, 2026 source file |
| PeaceHealth St John Medical Center one side Longview · Longview-Kelso, WA ASPIRATION AND/OR INJECTION OF FLUID FROM MEDIUM JOINT | $517.40 | $796.00 | Mar 21, 2026 source file |
| Cascade Valley Hospital Arlington · Seattle-Tacoma-Bellevue, WA HC ARTHROCENTESIS - MEDIUM | $532.00 | $665.00 | Mar 26, 2026 source file |
| PeaceHealth St Joseph Medical Center Bellingham · Bellingham, WA ASPIRATION AND/OR INJECTION OF FLUID FROM MEDIUM JOINT | $533.65 | $821.00 | Mar 21, 2026 source file |
| PeaceHealth United General Medical Center Sedro Woolley · Mount Vernon-Anacortes, WA ASPIRATION AND/OR INJECTION OF FLUID FROM MEDIUM JOINT | $533.65 | $821.00 | Mar 21, 2026 source file |
| Kaiser Permanente Central Hospital Seattle · Seattle-Tacoma-Bellevue, WA HB ARTHROCENTESIS INTERMEDIATE JOINT GANG | $544.00 | $680.00 | Apr 1, 2026 source file |
| Prov Sacred Hrt Medical Center & Childs Hospital Spokane · Spokane-Spokane Valley, WA HC DRAIN/INJECT JOINT/BURSA INTERM W/O ULTRASOUND GUIDANCE | $589.40 | $842.00 | Apr 1, 2026 source file |
| Jefferson Healthcare Port Townsend · Port Townsend, WA Aspiration and/or injection of fluid from medium joint | $611.20 | $764.00 | Aug 6, 2026 source file |
| Lake Chelan Community Hospital Chelan · Wenatchee-East Wenatchee, WA Aspiration and/or injection of fluid from medium joint | $614.07 | $614.07 | Sep 1, 2026 source file |
| Kadlec Regional Medical Center Richland · Kennewick-Richland, WA HC DRAIN/INJECT JOINT/BURSA INTERMED | $682.50 | $975.00 | Apr 1, 2026 source file |
| Providence Regional Medical Center Everett Everett · Seattle-Tacoma-Bellevue, WA HC ED ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/O US CDM | $683.28 | $1,314.00 | Apr 1, 2026 source file |
| Ocean Beach Hospital Ilwaco · Ilwaco, WA HC DRAIN/INJECT JOINT/BURSA INTERM W/O ULTRASOUND GUIDANCE | $721.50 | $962.00 | Oct 23, 2026 source file |
| Providence Centralia Hospital Centralia · Centralia, WA HC ED ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/O US CDM | $747.24 | $1,437.00 | Apr 1, 2026 source file |
| Providence St Peter Hospital Olympia · Olympia-Lacey-Tumwater, WA HC DRAIN/INJECT JOINT/BURSA INTERM W/O ULTRASOUND GUIDANCE | $747.24 | $1,437.00 | Apr 1, 2026 source file |
| Providence Holy Family Hospital Spokane · Spokane-Spokane Valley, WA HC DRAIN/INJECT JOINT/BURSA INTERM W/O ULTRASOUND GUIDANCE | $770.70 | $1,101.00 | Apr 1, 2026 source file |
| Seattle Children's Hospital Seattle · Seattle-Tacoma-Bellevue, WA Arthro Asp/Inj Interm Jnt/Bursa W/O US Guide | $785.40 | $785.40 | Mar 31, 2026 source file |
| Forks Community Hospital Forks · Port Townsend, WA Aspiration and/or injection of fluid from medium joint | $804.00 | $1,005.00 | Oct 27, 2026 source file |
| Shriners Childrens - Spokane Spokane · Spokane-Spokane Valley, WA DRAIN/INJ JOINT/BURSA W/O US | $1,455.70 | $1,455.70 | Mar 18, 2026 source file |
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 area | Hospitals | Lowest | Median |
|---|---|---|---|
| Seattle-Tacoma-Bellevue, WA | 12 | $113.28 | $473.76 |
| Spokane-Spokane Valley, WA | 5 | $81.90 | $589.40 |
| Kennewick-Richland, WA | 3 | $79.23 | $89.65 |
| Wenatchee-East Wenatchee, WA | 3 | $163.20 | $328.50 |
| Centralia, WA | 2 | $310.00 | $528.62 |
| Moses Lake, WA | 2 | $132.33 | $169.16 |
| Mount Vernon-Anacortes, WA | 2 | $264.80 | $399.22 |
| Othello, WA | 2 | $230.44 | $282.17 |
| Port Townsend, WA | 2 | $611.20 | $707.60 |
| Portland-Vancouver-Hillsboro, OR-WA | 2 | $378.30 | $447.85 |
| Pullman, WA | 2 | $328.00 | $394.35 |
| Aberdeen, WA | 1 | $383.40 | $383.40 |
| Bellingham, WA | 1 | $533.65 | $533.65 |
| Davenport, WA | 1 | $416.98 | $416.98 |
| Ellensburg, WA | 1 | $136.85 | $136.85 |
| Friday Harbor, WA | 1 | $507.00 | $507.00 |
| Goldendale, WA | 1 | $120.00 | $120.00 |
| Ilwaco, WA | 1 | $721.50 | $721.50 |
| Longview-Kelso, WA | 1 | $517.40 | $517.40 |
| Olympia-Lacey-Tumwater, WA | 1 | $747.24 | $747.24 |
| Port Angeles, WA | 1 | $360.00 | $360.00 |
| Republic, WA | 1 | $157.25 | $157.25 |
| South Bend, WA | 1 | $239.40 | $239.40 |
| Walla Walla, WA | 1 | $118.30 | $118.30 |
| Yakima, WA | 1 | $57.85 | $57.85 |
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
- Alabama$336.00
- Alaska$364.35
- Arizona$442.28
- Arkansas$359.12
- California$608.40
- Colorado$375.15
- Connecticut$629.63
- Delaware$873.97
- District of Columbia$639.39, 3 hospitals
- Florida$570.85
- Georgia$753.87
- Hawaii$688.10
- Idaho$261.70
- Illinois$415.00
- Indiana$427.50
- Iowa$346.20
- Kansas$273.45
- Kentucky$208.80
- Louisiana$258.30
- Maine$190.55
- Maryland$212.50
- Massachusetts$541.00
- Michigan$325.00
- Minnesota$305.21
- Mississippi$220.20
- Missouri$338.65
- Montana$205.00
- Nebraska$255.72
- Nevada$333.00
- New Hampshire$275.90
- New Jersey$857.43
- New Mexico$362.56
- New York$457.50
- North Carolina$346.50
- North Dakota$307.63
- Ohio$616.97
- Oklahoma$269.82
- Oregon$343.85
- Pennsylvania$353.80
- Puerto Rico$2,100.00, 3 hospitals
- Rhode Island$1,480.00
- South Carolina$436.20
- South Dakota$484.80
- Tennessee$292.60
- Texas$588.53
- Utah$391.47
- Vermont$278.32
- Virginia$421.50
- West Virginia$343.50
- Wisconsin$320.12
- Wyoming$292.50
Median cash price across the state's hospitals.