Joint injection (cortisone shot) cost in Maryland
In Maryland, 6 hospitals publish a cash price for injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound: from $167.24 to $1,057.52, with a median of $240.42. The lowest price is at Atlantic General Hospital (Berlin). The highest price is 6.3× the lowest.
- The median here, $240.42, is 45% below the US median of $439.76.
- That is 0.8× Medicare's 2026 national rate for the same service ($313.60).
- Maryland ranks 2nd of 50 states by median, cheapest first.
- 2 of 6 hospitals list a cash price equal to their full list price, with no self-pay discount.
Why Maryland prices look low: Maryland is the only state where a commission (the HSCRC) sets hospital rates for every payer, so its hospitals publish prices far below the rest of the country. A separate physician fee may still apply.
Maryland law (Health-General §19-214.1) requires hospitals to give free medically necessary care to patients with family income at or below 200% of the federal poverty level and to cut the bill by 75% up to 250% and 60% up to 300%. With medical debt above 25% of family income in a year, discounts reach up to 500%. Immigration status does not count. Ask the hospital for its financial assistance application. Other states' laws.
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 Sep 27, 2026. See them on a map
Hospitals in Maryland, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| Atlantic General Hospital lowest Berlin · Ocean Pines, MD Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); without ultrasound guidance | $167.24 | $167.24 | Apr 10, 2026 source file |
| TidalHealth Peninsula Salisbury · Salisbury, MD HC MC EXCISE MALIG LESION TRUNK,ARMS,LEGS 1.0-2.0 CM | $182.55 | $186.28 | Mar 19, 2026 source file |
| Mercy Medical Center Baltimore · Baltimore-Columbia-Towson, MD HC ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US | $192.19 | $196.11 | Jan 1, 2026 source file |
| Union Hospital of Cecil County Elkton · Philadelphia-Camden-Wilmington, PA-NJ-DE-MD ARTHROCENTESIS,ASP/INJ,MAJOR JOINT/BURSA,WO US GUID GLP | $288.65 | $288.65 | Apr 1, 2026 source file |
| The Kennedy Krieger Institute Baltimore · Baltimore-Columbia-Towson, MD HC ARTHROCENTESIS MAJOR JOINT OR BURSA | $324.00 | $405.00 | Aug 27, 2026 source file |
| Meritus Medical Center Hagerstown · Hagerstown-Martinsburg, MD-WV HC Arthrocentesis Aspriation and or Injection Major Joint or Bursa Without Ultrasound | $1,057.52 | $1,079.10 | Jun 10, 2026 source file |
By metro area
Each metro page compares every listing, including prices for both sides of the body.
| Metro area | Hospitals | Lowest | Median |
|---|---|---|---|
| Baltimore-Columbia-Towson, MD | 2 | $192.19 | $258.10 |
| Hagerstown-Martinsburg, MD-WV | 1 | $1,057.52 | $1,057.52 |
| Ocean Pines, MD | 1 | $167.24 | $167.24 |
| Philadelphia-Camden-Wilmington, PA-NJ-DE-MD | 1 | $288.65 | $288.65 |
| Salisbury, MD | 1 | $182.55 | $182.55 |
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
- Alabama$385.00
- Alaska$418.00
- Arizona$567.43
- Arkansas$399.31
- California$951.60
- Colorado$344.34
- Connecticut$652.05
- Delaware$960.45
- District of Columbia$557.92, 3 hospitals
- Florida$668.20
- Georgia$905.19
- Hawaii$599.25
- Idaho$305.00
- Illinois$494.00
- Indiana$412.92
- Iowa$354.00
- Kansas$342.23
- Kentucky$391.16
- Louisiana$258.30
- Maine$269.32
- Massachusetts$566.25
- Michigan$422.07
- Minnesota$362.85
- Mississippi$248.95
- Missouri$290.88
- Montana$275.85
- Nebraska$198.69
- Nevada$333.00
- New Hampshire$336.29
- New Jersey$1,065.25
- New Mexico$427.38
- New York$505.82
- North Carolina$418.80
- North Dakota$303.20
- Ohio$696.00
- Oklahoma$366.05
- Oregon$312.00
- Pennsylvania$468.12
- Puerto Rico$2,100.00, 3 hospitals
- Rhode Island$1,510.00
- South Carolina$646.52
- South Dakota$688.00
- Tennessee$343.47
- Texas$592.44
- Utah$460.95
- Vermont$681.90
- Virginia$387.46
- Washington$484.86
- West Virginia$343.50
- Wisconsin$399.36
- Wyoming$408.00
Median cash price across the state's hospitals.