Joint injection (cortisone shot) cost in Missouri
In Missouri, 60 hospitals publish a cash price for injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound: from $64.16 to $2,297.87, with a median of $290.88. The lowest price is at Freeman Health System - Freeman West (Joplin) and 2 other hospitals. The highest price is 35.8× the lowest.
- The median here, $290.88, is 34% below the US median of $439.76.
- That is 0.9× Medicare's 2026 national rate for the same service ($313.60).
- Missouri ranks 7th of 50 states by median, cheapest first.
- 4 of 60 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 8, 2026. See them on a map
Lowest$64.16Freeman Health System - Freeman West + 2 more
Median$290.88half of hospitals charge less
Highest$2,297.87in Missouri
Lowest saves$226.72vs the median
Hospitals in Missouri, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| Freeman Health System - Freeman West lowest Joplin · Joplin, MO-KS ARTHROCENTESIS MAJOR | $64.16 | $160.39 | Sep 1, 2026 source file |
| Freeman Health System - Freeman West lowest Joplin · Joplin, MO-KS ARTHROCENTESIS MAJOR | $64.16 | $160.39 | Sep 1, 2026 source file |
| Freeman Neosho Hospital lowest Neosho · Joplin, MO-KS ARTHROCENTESIS MAJOR | $64.16 | $160.39 | Sep 1, 2026 source file |
| Missouri Delta Medical Center Sikeston · Sikeston, MO Arthrocentesis Aspiration/Inj Major Jt/Bursa w/o US | $64.75 | $259.00 | Aug 7, 2026 source file |
| Ste. Genevieve County Memorial Hospital Ste. Genevieve · Ste. Genevieve, MO ASPIRATION OR INJECTION JOINT | $75.50 | $151.00 | May 19, 2026 source file |
| Community Hospital Association Fairfax · Fairfax, MO BURSA MAJOR JOINT | $79.80 | $114.00 | Aug 21, 2026 source file |
| Nevada City Hospital Nevada · Nevada, MO RHC ASP/INJECT MAJ JT/BURSA W/O US-20610 | $93.15 | $207.00 | Jan 14, 2025 source file |
| Carroll County Memorial Hospital Carrollton · Carrollton, MO Arthrocentesis Major joint/bursa injection/aspiration | $97.50 | $130.00 | Jul 7, 2024 source file |
| Boone Hospital Center Columbia · Columbia, MO ARTHROCENTESIS MAJOR JT W/O US | $100.20 | $167.00 | Apr 1, 2026 source file |
| Bothwell Regional Health Center one side Sedalia · Sedalia, MO ASPIRATION AND/OR INJECTION OF FLUID FROM LARGE JOINT | $103.50 | $138.00 | Mar 26, 2026 source file |
| Pike County Memorial Hospital Lousiana · Lousiana, MO 20610 Arthrocentesis aspiration and/or injection major joint or bursa without ultrasound guidance | $120.00 | $150.00 | May 5, 2026 source file |
| Sullivan County Memorial Hospital Milan · Milan, MO INJECTION OF MAJOR JOINT | $121.00 | $121.00 | Jul 1, 2026 source file |
| Scotland County Memorial Hospital Memphis · Memphis, MO ASP/INJ MAJOR JT WO US | $127.02 | $181.45 | Oct 24, 2026 source file |
| Citizens Memorial Hospital Bolivar · Springfield, MO DRAIN/INJ JOINT/BURSA W/O US | $128.00 | $160.00 | Mar 25, 2026 source file |
| Texas County Memorial Hospital Houston · Houston, MO ARTHRO/ASPIR/INJ MAJOR JNT W/O US | $130.90 | $187.00 | Jul 17, 2026 source file |
| Cox Medical Center Branson Branson · Branson, MO ASPIRATION AND/OR INJECTION OF FLUID FROM LARGE JOINT | $147.58 | $650.12 | Apr 24, 2026 source file |
| Lester E Cox Medical Centers Springfield · Springfield, MO DRAIN/INJ JOINT/BURSA W/O US | $163.83 | $650.12 | Apr 24, 2026 source file |
| Ranken Jordan Pediatric Bridge Hospital Maryland Heights · St. Louis, MO-IL Aspiration and/or injection, major joint or bursa (shoulder, hip, knee, subacromial bursa, etc) | $169.84 | $212.30 | Apr 24, 2026 source file |
| Poplar Bluff Regional Medical Center Poplar Bluff · Poplar Bluff, MO S-JNT ASP INJ MAJ UN | $197.71 | $941.49 | Apr 1, 2026 source file |
| Cox Barton County Hospital Lamar · Lamar, MO DRAIN/INJ JOINT/BURSA W/O US | $207.39 | $650.12 | Apr 24, 2026 source file |
| Phelps Health Rolla · Rolla, MO DRAIN/INJ JOINT/BURSA W/O US | $215.96 | $308.51 | Feb 26, 2026 source file |
| Lakewood Medical Center one side Kansas City · Kansas City, MO-KS 20610 Arthrocentesis, Maj Jt/Bursa WNS | $252.37 | $458.85 | Aug 5, 2026 source file |
| University Health Truman Medical Center one side Kansas City · Kansas City, MO-KS 20610 Joint Inj Major WGR | $252.37 | $458.85 | Aug 5, 2026 source file |
| Children's Mercy Hospital Kansas City · Kansas City, MO-KS DRAIN/INJ MAJOR JOINT/BURSA W/O US TX RM E | $254.88 | $531.00 | Apr 1, 2026 source file |
| Madison Medical Center Fredericktown · Fredericktown, MO ARTHROCENTESIS,ASP, AND/OR INJ MAJOR JOI | $256.50 | $285.00 | Oct 13, 2026 source file |
| Mercy Hospital Jefferson Festus · St. Louis, MO-IL Asp/Inj Major Jt WO US Guid | $266.50 | $410.00 | Jun 10, 2026 source file |
| Mercy Hospital Lincoln Troy · St. Louis, MO-IL Asp/Inj Major Jt WO US Guid | $266.50 | $410.00 | Jun 10, 2026 source file |
| Mercy Hospital Southeast Cape Girardeau · Cape Girardeau, MO-IL Asp/Inj Major Jt WO US Guid | $266.50 | $410.00 | Jun 11, 2026 source file |
| Golden Valley Memorial Hospital one side Clinton · Clinton, MO ASPIRATION AND/OR INJECTION OF FLUID FROM LARGE JOINT | $270.00 | $450.00 | Jul 1, 2026 source file |
| Harrison County Community Hospital Bethany · Bethany, MO DRAIN/INJ JOINT/BURSA W/O US | $289.25 | $445.00 | Oct 8, 2026 source file |
| Mercy Hospital Lebanon Lebanon · Lebanon, MO Asp/Inj Major Jt WO US Guid | $292.50 | $450.00 | Jun 10, 2026 source file |
| St Joseph Medical Center Kansas City · Kansas City, MO-KS Hc Asp/Drain Large Joint/Bursa | $305.00 | $1,498.28 | Mar 17, 2026 source file |
| Mercy Hospital South Saint Louis · St. Louis, MO-IL Asp/Inj Major Jt WO US Guid | $362.70 | $558.00 | Jun 10, 2026 source file |
| Hermann Area Hospital District Hermann · Hermann, MO Aspiration and/or injection of fluid from large joint | $376.50 | $627.50 | Oct 28, 2026 source file |
| Fitzgibbon Hospital Marshall · Marshall, MO Aspiration and/or injection of fluid from large joint | $395.20 | $494.00 | Feb 2, 2026 source file |
| Mercy Hospital Joplin Joplin · Joplin, MO-KS Bil Asp/Inj Major Jt WO US Guid | $415.35 | $639.00 | Jun 9, 2026 source file |
| Mercy Hospital Carthage Carthage · Joplin, MO-KS Asp/Inj Major Jt WO US Guid | $423.80 | $652.00 | Jun 9, 2026 source file |
| Cox-Monett Hospital Monett · Monett, MO DRAIN/INJ JOINT/BURSA W/O US | $440.64 | $1,444.72 | Apr 24, 2026 source file |
| Mercy Perry Perryville · Perryville, MO Asp/Inj Major Jt WO US Guid | $451.10 | $694.00 | Mar 12, 2026 source file |
| Curators of the University of Missouri Columbia · Columbia, MO ARTHROCENTESIS,ASP/INJ MAJOR JOINT/BURSA-NFM | $453.60 | $756.00 | Dec 15, 2025 source file |
| Mercy Hospital Aurora Aurora · Aurora, MO Asp/Inj Major Jt WO US Guid | $464.75 | $715.00 | Jun 10, 2026 source file |
| Mercy Hospital Cassville Cassville · Cassville, MO Asp/Inj Major Jt WO US Guid | $464.75 | $715.00 | Jun 10, 2026 source file |
| Cass Regional Medical Center Harrisonville · Kansas City, MO-KS Inj Aspiration Major Joint | $474.88 | $678.40 | Apr 7, 2026 source file |
| Mercy Hospital St Louis Saint Louis · St. Louis, MO-IL Asp/Inj Major Jt W/O US Guid | $502.45 | $773.00 | Jun 4, 2026 source file |
| Lake Regional Health System Osage Beach · Osage Beach, MO Drain/inj joint/bursa w/o us | $571.08 | $1,903.60 | Oct 15, 2026 source file |
| Mercy Hospital Stoddard Dexter · Dexter, MO Asp/Inj Major Jt WO US Guid | $574.60 | $884.00 | Jun 11, 2026 source file |
| Mercy Hospital Springfield Springfield · Springfield, MO Asp/Inj Major Jt WO US Guid | $576.55 | $887.00 | Jun 4, 2026 source file |
| Mercy Orthopedic Hospital Springfield Ozark · Springfield, MO Asp/Inj Major Jt WO US Guid | $576.55 | $887.00 | Jun 4, 2026 source file |
| Mercy Hospital Washington Washington · St. Louis, MO-IL Asp/Inj Major Jt WO US Guid | $623.35 | $959.00 | Jun 10, 2026 source file |
| Bates County Memorial Hospital Butler · Kansas City, MO-KS ARTHROCENTESIS, ASPIRATION AND/OR INJECTION; MAJOR JOINT OR BURSA (EG, SHOULDER, HIP, KNEE... | $623.70 | $891.00 | Apr 20, 2026 source file |
| Liberty Hospital Liberty · Kansas City, MO-KS ARTHROCENTESIS MJR JNT | $770.00 | $2,761.00 | Jul 9, 2026 source file |
| Western Missouri Medical Center Warrensburg · Warrensburg, MO 20610 MAJOR JOINT/BURSA INJECTION TECH CHARGE | $823.20 | $823.20 | Apr 1, 2026 source file |
| Saint Francis Medical Center Cape Girardeau · Cape Girardeau, MO-IL Hc Asp/Inj Large Joint | $946.00 | $946.00 | Apr 1, 2026 source file |
| Mosaic Medical Center Albany Albany · Albany, MO HC ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US | $1,105.00 | $1,300.00 | Sep 26, 2025 source file |
| Heartland Long Term Acute Hospital St. Joseph · St. Joseph, MO-KS HC ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US | $1,190.00 | $1,400.00 | Jun 23, 2026 source file |
| Mosaic Life Care at St Joseph Medical Center St. Joseph · St. Joseph, MO-KS HC ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US | $1,190.00 | $1,400.00 | Sep 26, 2025 source file |
| Mosaic Medical Center Maryville Maryville · Maryville, MO HC ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US | $1,190.00 | $1,400.00 | Sep 26, 2025 source file |
| 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 source file |
| Moberly Regional Medical Center Moberly · Moberly, MO DRAIN/INJECT, JOINT/BURSA | $1,360.80 | $5,040.00 | Apr 1, 2026 source file |
| Northeast Regional Medical Center Kirksville · Kirksville, MO DRAIN/INJECT, JOINT/BURSA | $2,297.87 | $9,574.47 | Apr 1, 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 |
|---|---|---|---|
| Kansas City, MO-KS | 7 | $252.37 | $305.00 |
| St. Louis, MO-IL | 7 | $169.84 | $362.70 |
| Joplin, MO-KS | 5 | $64.16 | $64.16 |
| Springfield, MO | 4 | $128.00 | $370.19 |
| Cape Girardeau, MO-IL | 2 | $266.50 | $606.25 |
| Columbia, MO | 2 | $100.20 | $276.90 |
| St. Joseph, MO-KS | 2 | $1,190.00 | $1,190.00 |
| Albany, MO | 1 | $1,105.00 | $1,105.00 |
| Aurora, MO | 1 | $464.75 | $464.75 |
| Bethany, MO | 1 | $289.25 | $289.25 |
| Branson, MO | 1 | $147.58 | $147.58 |
| Carrollton, MO | 1 | $97.50 | $97.50 |
| Cassville, MO | 1 | $464.75 | $464.75 |
| Clinton, MO | 1 | $270.00 | $270.00 |
| Dexter, MO | 1 | $574.60 | $574.60 |
| Fairfax, MO | 1 | $79.80 | $79.80 |
| Fredericktown, MO | 1 | $256.50 | $256.50 |
| Hermann, MO | 1 | $376.50 | $376.50 |
| Houston, MO | 1 | $130.90 | $130.90 |
| Kirksville, MO | 1 | $2,297.87 | $2,297.87 |
| Lamar, MO | 1 | $207.39 | $207.39 |
| Lousiana, MO | 1 | $120.00 | $120.00 |
| Lebanon, MO | 1 | $292.50 | $292.50 |
| Memphis, MO | 1 | $127.02 | $127.02 |
| Milan, MO | 1 | $121.00 | $121.00 |
| Monett, MO | 1 | $440.64 | $440.64 |
| Marshall, MO | 1 | $395.20 | $395.20 |
| Maryville, MO | 1 | $1,190.00 | $1,190.00 |
| Moberly, MO | 1 | $1,360.80 | $1,360.80 |
| Nevada, MO | 1 | $93.15 | $93.15 |
| Osage Beach, MO | 1 | $571.08 | $571.08 |
| Perryville, MO | 1 | $451.10 | $451.10 |
| Poplar Bluff, MO | 1 | $197.71 | $197.71 |
| Rolla, MO | 1 | $215.96 | $215.96 |
| Ste. Genevieve, MO | 1 | $75.50 | $75.50 |
| Sedalia, MO | 1 | $103.50 | $103.50 |
| Sikeston, MO | 1 | $64.75 | $64.75 |
| Warrensburg, MO | 1 | $823.20 | $823.20 |
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 (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
- Maryland$240.42
- Massachusetts$566.25
- Michigan$422.07
- Minnesota$362.85
- Mississippi$248.95
- 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.