Surgery and procedures CPT 20610 Iowa Outpatient

Joint injection (cortisone shot) cost in Iowa

In Iowa, 85 hospitals publish a cash price for injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound: from $47.20 to $1,299.00, with a median of $354.00. The lowest price is at Story County Hospital (Nevada). The highest price is 27.5× the lowest.

  • The median here, $354.00, is 20% below the US median of $439.76.
  • That is 1.1× Medicare's 2026 national rate for the same service ($313.60).
  • Iowa ranks 17th of 50 states by median, cheapest first.
  • 10 of 85 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 20610. Prices for both sides of the body and inpatient prices are not mixed in. Collected Nov 7, 2026. See them on a map

Lowest$47.20Story County Hospital
Median$354.00half of hospitals charge less
Highest$1,299.00in Iowa
Lowest saves$306.80vs the median

Hospitals in Iowa, cheapest first

HospitalCash priceList priceFile date
Story County Hospital lowest Nevada · Ames, IA HC DRAIN/INJ MAJOR JNT/BURSA $47.20 $59.00 Mar 30, 2026
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Knoxville Hospital & Clinics Knoxville · Pella, IA Aspiration and/or injection of fluid from large joint $48.60 $81.00 Jan 24, 2026
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Alegent Health - Mercy Hospital, Corning Iowa one side Corning · Corning, IA HC ASPIR/INJ MAJOR JNT/BUR RT HHP $72.90 $162.00 Sep 30, 2026
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Alegent Health Community Memorial Hospital of Missouri Valley, Iowa one side Missouri Valley · Omaha, NE-IA HC ASPIR/INJ MAJOR JNT/BUR RT HHP $81.00 $162.00 Sep 30, 2026
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Dallas County Hospital Perry · Des Moines-West Des Moines, IA SCHED-DRAIN/INJ MAJOR JNT/BURSA $89.00 $137.00 May 29, 2026
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Clarinda Regional Health Center Clarinda · Clarinda, IA Aspiration and/or injection of fluid from large joint $96.75 $129.00 Oct 23, 2026
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Spencer Municipal Hospital one side Spencer · Spencer, IA Asp/Inj Large Joint RT $98.25 $131.00 Jan 1, 2026
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Shenandoah Medical Center Shenandoah · Shenandoah, IA Aspiration and/or injection of fluid from large joint $126.75 $195.00 Sep 21, 2026
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Madison County Memorial Hospital Winterset · Des Moines-West Des Moines, IA Aspiration and/or injection of fluid from large joint $133.60 $167.00 Oct 21, 2026
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Decatur County Hospital Leon · Leon, IA Aspiration and/or injection of fluid from large joint $142.40 $178.00 Mar 4, 2026
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Boone County Hospital Boone · Ames, IA Aspiration and/or injection of fluid from large joint $151.20 $189.00 Jul 27, 2026
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Waverly Health Center Waverly · Waterloo-Cedar Falls, IA Aspiration and/or injection of fluid from large joint $154.44 $297.00 Oct 19, 2026
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St Anthony Regional Hospital and Nursing Home Carroll · Carroll, IA Aspiration and/or injection of fluid from large joint $159.00 $159.00 Nov 3, 2026
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MercyOne Clinton Medical Center one side Clinton · Clinton, IA HC Arthrocentesis/Aspiration/Inj Major Joint/Bursa W/O US Guidance Lt $165.75 $255.00 Mar 31, 2026
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Broadlawns Medical Center Des Moines · Des Moines-West Des Moines, IA Aspiration/Inj Major Joint $173.00 $173.00 Sep 1, 2026
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Hansen Family Hospital Iowa Falls · Iowa Falls, IA Aspiration and/or injection of fluid from large joint $173.96 $173.96 Jul 10, 2026
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Shelby County Chris A Myrtue Memorial Hospital Harlan · Harlan, IA Aspiration and/or injection of fluid from large joint $175.16 $302.00 Apr 21, 2026
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Avera Merrill Pioneer one side Rock Rapids · Rock Rapids, IA $175.57 $181.00 —
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Rawford County Memorial Hospital Denison · Denison, IA Aspiration and/or injection of fluid from large joint $182.40 $228.00 Jul 27, 2026
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Adair County Memorial Hospital Greenfield · Greenfield, IA Aspiration and/or injection of fluid from large joint $183.75 $245.00 Sep 2, 2026
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CHI Health Mercy Council Bluffs one side Council Bluffs · Omaha, NE-IA HC ASPIR/INJ MAJOR JNT/BUR RT HHP $195.65 $455.00 Sep 30, 2026
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Manning Regional Healthcare Center Manning · Carroll, IA Aspiration and/or injection of fluid from large joint $196.31 $293.00 Oct 16, 2026
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Sioux Center Health one side Sioux Center · Sioux Center, IA $196.91 $203.00 Apr 1, 2026
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Washington County Hospital Washington · Iowa City, IA Aspiration and/or injection of fluid from large joint $204.00 $272.00 Oct 20, 2026
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Methodist Jennie Edmundson Hospital Council Bluffs · Omaha, NE-IA Arthrocentesis aspiration and/or injection major j $205.20 $684.00 Feb 15, 2026
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WinnMed Decorah · Decorah, IA Aspiration and/or injection of fluid from large joint $205.80 $294.00 Oct 13, 2026
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Orange City Municipal Hospital Orange City · Orange City, IA Aspiration and/or injection of fluid from large joint $207.20 $259.00 Sep 23, 2026
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Hawarden Regional Healthcare Harwarden · Harwarden, IA MAJOR JOINT INJ W/O GUIDANCE $208.12 $244.85 Apr 24, 2026
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Wayne County Hospital Corydon · Corydon, IA Aspiration and/or injection of fluid from large joint $209.00 $209.00 Jun 10, 2026
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Cass County Memorial Hospital Atlantic · Atlantic, IA Aspiration and/or injection of fluid from large joint $214.90 $307.00 Jun 1, 2026
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Guthrie County Hospital Guthrie Center · Des Moines-West Des Moines, IA Aspiration and/or injection of fluid from large joint $224.00 $224.00 Sep 26, 2026
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Audubon County Memorial Hospital Audubon · Audubon, IA Aspiration and/or injection of fluid from large joint $230.00 $230.00 Sep 14, 2026
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Hancock County Health System Britt · Britt, IA Aspiration and/or injection of fluid from large joint $243.75 $325.00 Oct 20, 2026
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Franklin General Hospital Hampton · Hampton, IA Aspiration and/or injection of fluid from large joint $249.30 $277.00 Nov 3, 2026
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Veterans Memorial Hospital City of Waukon Ia Waukon · Waukon, IA Aspiration and/or injection of fluid from large joint $250.80 $440.00 Oct 8, 2026
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Community Memorial Hospital Medical Center Sumner · Waterloo-Cedar Falls, IA HC DRAIN/INJ MAJOR JNT/BURSA $265.16 $331.46 Jun 18, 2026
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Lakes Regional Hospital one side Spirit Lake · Spirit Lake, IA $269.80 $284.00 Apr 1, 2026
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MercyOne Genesis Davenport West Medical Center one side Davenport · Davenport-Moline-Rock Island, IA-IL FL Knee Steroid Injection- R $306.00 $510.00 Mar 31, 2026
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Cherokee Regional Medical Center Cherokee · Cherokee, IA HC DRAIN/INJ MAJOR JNT/BURSA $309.60 $344.00 Mar 31, 2026
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Floyd County Memorial Hospital Commission Charles City · Charles City, IA Aspiration and/or injection of fluid from large joint $313.60 $784.00 Sep 30, 2026
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Van Diest Medical Center Webster City · Webster City, IA DRAIN/INJ JOINT/BURSA W/O US $321.60 $402.00 Feb 5, 2026
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Loring Hospital Sac City · Sac City, IA HC DRAIN/INJ MAJOR JNT/BURSA $344.00 $430.00 Aug 25, 2026
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MercyOne Genesis Davenport Medical Center one side Davenport · Davenport-Moline-Rock Island, IA-IL Fluoro Guide Needle BX/ASP Hip Lt $354.00 $590.00 Mar 31, 2026
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MercyOne Genesis DeWitt Medical Center Dewitt · Clinton, IA GHS INJ MAJOR JOINT OR BURSA $354.00 $590.00 Mar 31, 2026
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Kossuth Regional Health Center Algona · Algona, IA Aspiration and/or injection of fluid from large joint $369.60 $462.00 Jul 16, 2026
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Regional Medical Center one side Manchester · Manchester, IA ASPIRATION AND/OR INJECTION OF FLUID FROM LARGE JOINT $394.40 $493.00 Feb 20, 2026
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Jefferson County Hospital Fairfield · Fairfield, IA Aspiration and/or injection of fluid from large joint $397.20 $662.00 Aug 20, 2026
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Buena Vista Regional Medical Center Storm Lake · Storm Lake, IA HC DRAIN/INJ MAJOR JNT/BURSA $397.60 $497.00 Mar 31, 2026
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Gundersen Palmer Lutheran Hospital and Clinic West Union · West Union, IA HCHG 20610 ARTHROCENTESIS, ASP/INJ, LRG JNT $407.48 $686.00 Jun 27, 2026
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The Finley Hospital Dubuque · Dubuque, IA HC DRAIN/INJ MAJOR JNT/BURSA $439.52 $549.39 Nov 4, 2026
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Stewart Memorial Community Hospital Lake City · Lake City, IA DRAIN/INJ MAJOR JNT/BURSA $451.00 $564.00 Oct 8, 2024
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Grinnell Regional Medical Center Grinnell · Grinnell, IA HC DRAIN/INJ MAJOR JNT/BURSA $503.37 $629.21 Nov 4, 2026
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Grundy County Memorial Hospital Grundy Center · Waterloo-Cedar Falls, IA HC DRAIN/INJ MAJOR JNT/BURSA $517.60 $647.00 Jun 29, 2026
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Virginia Gay Hospital Vinton · Cedar Rapids, IA Aspiration and/or injection of fluid from large joint $518.40 $648.00 Aug 13, 2026
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Sanford Sheldon Medical Center Sheldon · Sheldon, IA TX RM 20610 ARTHROCENT ASP INJ JOINT BURSA MAJOR WO US GUID $520.00 $650.00 Mar 4, 2026
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St Lukes Regional Medical Center Sioux City · Sioux City, IA-NE-SD HC DRAIN/INJ MAJOR JNT/BURSA $528.97 $661.21 Nov 4, 2026
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Greene County Medical Center Jefferson · Jefferson, IA HC DRAIN/INJ MAJOR JNT/BURSA $530.32 $947.00 Mar 26, 2026
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Avera Holy Family Hospital one side Estherville · Estherville, IA $532.53 $549.00 —
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MercyOne Dubuque Medical Center one side Dubuque · Dubuque, IA HC Arthrocentesis/Aspiration/Inj Major Joint/Bursa W/O US Guidance Lt $533.00 $820.00 Mar 31, 2026
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Pocahontas Community Hospital Pocahontas · Pocahontas, IA HC DRAIN/INJ MAJOR JNT/BURSA $541.00 $541.00 Mar 29, 2026
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Mercy Medical Center - New Hampton one side New Hampton · New Hampton, IA HC Arthrocentesis/Aspiration/Inj Major Joint/Bursa W/O US Guidance Lt $574.60 $884.00 Mar 31, 2026
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MercyOne Elkader Medical Center one side Elkader · Elkader, IA HC Arthrocentesis/Aspiration/Inj Major Joint/Bursa W/O US Guidance Lt $574.60 $884.00 Mar 31, 2026
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MercyOne Newton Medical Center one side Newton · Des Moines-West Des Moines, IA HC Arthrocentesis/Aspiration/Inj Major Joint/Bursa W/O US Guidance Rt $574.60 $884.00 Mar 31, 2026
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Trinity - Bettendorf Bettendorf · Davenport-Moline-Rock Island, IA-IL HC DRAIN/INJ MAJOR JNT/BURSA $584.71 $730.88 Nov 4, 2026
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Unity Healthcare Muscatine · Muscatine, IA HC DRAIN/INJ MAJOR JNT/BURSA $584.71 $730.88 Nov 4, 2026
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Trinity Regional Medical Center Fort Dodge · Fort Dodge, IA HC DRAIN/INJ MAJOR JNT/BURSA $633.96 $792.44 Nov 4, 2026
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St Luke's Methodist Hospital Cedar Rapids · Cedar Rapids, IA HC DRAIN/INJ MAJOR JNT/BURSA $640.85 $801.06 Jan 28, 2026
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UnityPoint Health - Jones Regional Medical Center Anamosa · Cedar Rapids, IA HC DRAIN/INJ MAJOR JNT/BURSA $647.67 $809.58 Jan 28, 2026
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Allen Hospital Waterloo · Waterloo-Cedar Falls, IA HC DRAIN/INJ MAJOR JNT/BURSA $652.80 $816.00 Nov 4, 2026
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UnityPoint Health Marshalltown Marshalltown · Marshalltown, IA HC DRAIN/INJ MAJOR JNT/BURSA $652.80 $816.00 Nov 4, 2026
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MercyOne North Iowa Medical Center one side Mason City · Mason City, IA HC Arthrocentesis/Aspiration/Inj Major Joint/Bursa W/O US Guidance Rt $661.05 $1,017.00 Mar 31, 2026
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Guttenberg Municipal Hospital Guttenberg · Guttenberg, IA HC DRAIN/INJ MAJOR JNT/BURSA $677.60 $847.00 Mar 31, 2026
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UnityPoint Health - Des Moines Iowa Methodist Medical Des Moines · Des Moines-West Des Moines, IA HC DRAIN/INJ MAJOR JNT/BURSA $678.24 $847.80 Nov 4, 2026
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Van Buren County Hospital Keosauqua · Keosauqua, IA Aspiration and/or injection of fluid from large joint $679.00 $970.00 Jul 20, 2026
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MercyOne Waterloo Medical Center one side Waterloo · Waterloo-Cedar Falls, IA HC Arthrocentesis/Aspiration/Inj Major Joint/Bursa W/O US Guidance Rt $730.60 $1,124.00 Mar 31, 2026
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Jackson County Regional Health Center Maquoketa · Maquoketa, IA GHS INJ ASP MAJ JOINT SHOULDER HIP KNE $764.00 $764.00 Aug 11, 2026
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University of Iowa Health Care Medical Center Down Iowa City · Iowa City, IA HB ARTHROCENTESIS, ASPIRATION OR INJECTION OF MAJOR JOINT OR BURSA $786.10 $1,123.00 Mar 11, 2026
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University of Iowa Hospital & Clinics Iowa City · Iowa City, IA HB ARTHROCENTESIS, ASPIRATION OR INJECTION OF MAJOR JOINT OR BURSA $786.10 $1,123.00 Mar 11, 2026
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MercyOne Des Moines Medical Center one side Des Moines · Des Moines-West Des Moines, IA HC Arthrocentesis/Aspiration/Inj Major Joint/Bursa W/O US Guidance Rt $844.35 $1,299.00 Mar 31, 2026
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Belmond Community Hospital Belmond · Belmond, IA Aspiration and/or injection of fluid from large joint $865.20 $1,442.00 Apr 22, 2026
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Iowa Specialty Hospital-Clarion Clarion · Clarion, IA Aspiration and/or injection of fluid from large joint $865.20 $1,442.00 Jun 11, 2026
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MercyOne Centerville Medical Center one side Centerville · Centerville, IA HC Arthrocentesis/Aspiration/Inj Major Joint/Bursa W/O US Guidance Lt $884.00 $884.00 Mar 31, 2026
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Sartori Memorial Hospital one side Cedar Falls · Waterloo-Cedar Falls, IA HC Arthrocentesis/Aspiration/Inj Major Joint/Bursa W/O US Guidance Rt $1,047.15 $1,611.00 Mar 31, 2026
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Humboldt County Memorial Hospital Humboldt · Humboldt, IA HC DRAIN/INJ MAJOR JNT/BURSA $1,075.50 $1,195.00 Mar 30, 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/Inj Major Joint/Bursa W/O US Guidance Rt $1,299.00 $1,299.00 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
Des Moines-West Des Moines, IA 8 $89.00 $399.30
Waterloo-Cedar Falls, IA 6 $154.44 $585.20
Davenport-Moline-Rock Island, IA-IL 3 $306.00 $354.00
Iowa City, IA 3 $204.00 $786.10
Omaha, NE-IA 3 $81.00 $195.65
Ames, IA 2 $47.20 $99.20
Carroll, IA 2 $159.00 $177.66
Cedar Rapids, IA 2 $518.40 $583.04
Clinton, IA 2 $165.75 $259.88
Dubuque, IA 2 $439.52 $486.26
Algona, IA 1 $369.60 $369.60
Atlantic, IA 1 $214.90 $214.90
Audubon, IA 1 $230.00 $230.00
Belmond, IA 1 $865.20 $865.20
Britt, IA 1 $243.75 $243.75
Cedar Rapids, IA 1 $640.85 $640.85
Centerville, IA 1 $884.00 $884.00
Charles City, IA 1 $313.60 $313.60
Cherokee, IA 1 $309.60 $309.60
Clarinda, IA 1 $96.75 $96.75
Clarion, IA 1 $865.20 $865.20
Corning, IA 1 $72.90 $72.90
Corydon, IA 1 $209.00 $209.00
Decorah, IA 1 $205.80 $205.80
Denison, IA 1 $182.40 $182.40
Elkader, IA 1 $574.60 $574.60
Estherville, IA 1 $532.53 $532.53
Fairfield, IA 1 $397.20 $397.20
Fort Dodge, IA 1 $633.96 $633.96
Greenfield, IA 1 $183.75 $183.75
Grinnell, IA 1 $503.37 $503.37
Guttenberg, IA 1 $677.60 $677.60
Hampton, IA 1 $249.30 $249.30
Harlan, IA 1 $175.16 $175.16
Harwarden, IA 1 $208.12 $208.12
Humboldt, IA 1 $1,075.50 $1,075.50
Iowa Falls, IA 1 $173.96 $173.96
Jefferson, IA 1 $530.32 $530.32
Keosauqua, IA 1 $679.00 $679.00
Lake City, IA 1 $451.00 $451.00
Leon, IA 1 $142.40 $142.40
Manchester, IA 1 $394.40 $394.40
Maquoketa, IA 1 $764.00 $764.00
Marshalltown, IA 1 $652.80 $652.80
Mason City, IA 1 $661.05 $661.05
Muscatine, IA 1 $584.71 $584.71
New Hampton, IA 1 $574.60 $574.60
Orange City, IA 1 $207.20 $207.20
Pocahontas, IA 1 $541.00 $541.00
Pella, IA 1 $48.60 $48.60
Rock Rapids, IA 1 $175.57 $175.57
Sac City, IA 1 $344.00 $344.00
Sheldon, IA 1 $520.00 $520.00
Shenandoah, IA 1 $126.75 $126.75
Sioux Center, IA 1 $196.91 $196.91
Sioux City, IA-NE-SD 1 $528.97 $528.97
Spencer, IA 1 $98.25 $98.25
Spirit Lake, IA 1 $269.80 $269.80
Storm Lake, IA 1 $397.60 $397.60
Waukon, IA 1 $250.80 $250.80
Webster City, IA 1 $321.60 $321.60
West Union, IA 1 $407.48 $407.48
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 (cortisone shot) is, what the price covers and why prices differ: Joint injection (cortisone shot) explained.

Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound in other states

Median cash price across the state's hospitals.