Joint injection (cortisone shot) cost in North Carolina
In North Carolina, 56 hospitals publish a cash price for injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound: from $55.76 to $1,559.00, with a median of $418.80. The lowest price is at Northern Regional Hospital (Mount Airy). The highest price is 28.0× the lowest.
- The median here, $418.80, is 5% below the US median of $439.76.
- That is 1.3× Medicare's 2026 national rate for the same service ($313.60).
- North Carolina ranks 28th of 50 states by median, cheapest first.
- 6 of 56 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 11, 2026. See them on a map
Hospitals in North Carolina, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| Northern Regional Hospital lowest Mount Airy · Mount Airy, NC Arthrocentesis, Major-Prof | $55.76 | $82.00 | Nov 12, 2025 source file |
| Iredell Memorial Hospital one side Statesville · Charlotte-Concord-Gastonia, NC-SC IMH Inj/Asp Joint Lt | $111.17 | $411.73 | Dec 31, 2025 source file |
| Alleghany County Memorial Hospital Sparta · Sparta, NC HC ER ARTHROCENTESIS MAJOR JOINT W/O US GUID | $160.00 | $320.00 | Aug 12, 2025 source file |
| ECU Health Bertie Hospital one side Windsor · Windsor, NC Joint/Bursa Asp/Inj W/O US Guide, Large-Lt-ED | $198.24 | $354.00 | Apr 1, 2026 source file |
| Erlanger Murphy Medical Center Murphy · Murphy, NC HC Inj/Asp Major Jnt Site | $210.70 | $301.00 | Jan 25, 2026 source file |
| Duke University Hospital Durham · Durham, NC Arthcs Asp/Inj Mjr Jt WO US | $210.87 | $781.00 | Apr 1, 2026 source file |
| Duke Health Raleigh Hospital Raleigh · Raleigh-Cary, NC Arthcs Asp/Inj Mjr Jt WO US | $210.87 | $781.00 | Apr 1, 2026 source file |
| Duke Regional Hospital Durham · Durham-Chapel Hill, NC Arthcs Asp/Inj Mjr Jt WO US | $210.87 | $781.00 | Apr 1, 2026 source file |
| ECU Health Duplin Hospital one side Kenansville · Kenansville, NC Joint/Bursa Asp/Inj W/O US Guide, Large-Rt | $234.64 | $419.00 | Apr 1, 2026 source file |
| ECU Health North Hospital one side Roanoke Rapids · Roanoke Rapids, NC Joint/Bursa Asp/Inj W/O US Guide, Large-Rt-ED | $239.68 | $428.00 | Apr 1, 2026 source file |
| The Outer Banks Hospital one side Nags Head · Kill Devil Hills, NC Joint/Bursa Asp/Inj W/O US Guide, Large-Rt | $255.36 | $456.00 | Apr 1, 2026 source file |
| Rutherford Regional Medical Center Rutherfordton · Forest City, NC Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); without ultrasound guidance | $260.52 | $651.30 | Jul 10, 2026 source file |
| Randolph Health Asheboro · Asheboro, NC DRAIN INJ MAJOR JNT BURSA | $264.00 | $1,320.00 | Dec 30, 2024 source file |
| ECU Health Beaufort Hospital one side Washington · Washington, NC Joint/Bursa Asp/Inj W/O US Guide, Large-Lt-ED | $294.15 | $555.00 | Apr 1, 2026 source file |
| ECU Health Medical Center one side Greenville · Greenville, NC Joint/Bursa Asp/Inj W/O US Guide, Large-Rt-ED | $294.15 | $555.00 | Apr 1, 2026 source file |
| WakeMed Cary Hospital Cary · Raleigh-Cary, NC HC Drain/Inject Joint/Bursa Major | $294.88 | $776.00 | Feb 11, 2026 source file |
| WakeMed Raleigh Campus Raleigh · Raleigh-Cary, NC HC Drain/Inject Joint/Bursa Major | $294.88 | $776.00 | Feb 11, 2026 source file |
| North Carolina Baptist Hospital Winston Salem · Winston-Salem, NC HC ARTHROCENTESIS MAJOR JOINT W/O US GUID | $330.00 | $660.00 | Oct 8, 2025 source file |
| Duke Health Lake Norman Hospital Mooresville · Charlotte-Concord-Gastonia, NC-SC HC ARTHCS ASP/INJ MJR JT WO US | $331.02 | $1,226.00 | Apr 1, 2026 source file |
| North Carolina Baptist Hospital Bermuda Run · Winston-Salem, NC HC ER ARTHROCENTESIS MAJOR JOINT W/O US GUID | $348.50 | $697.00 | Oct 30, 2026 source file |
| High Point Regional Health High Point · Greensboro-High Point, NC HC ARTHROCENTESIS MAJOR JOINT W/O US GUID | $351.50 | $703.00 | Oct 30, 2026 source file |
| Lexington Medical Center Lexington · Winston-Salem, NC HC ER ARTHROCENTESIS MAJOR JOINT W/O US GUID | $353.50 | $707.00 | Oct 30, 2026 source file |
| Wilkes Regional Medical Center North Wilkesboro · North Wilkesboro, NC HC ARTHROCENTESIS MAJOR JOINT W/O US GUID | $373.00 | $746.00 | Oct 8, 2025 source file |
| Hugh Chatham Memorial Hospital Elkin · Mount Airy, NC HC ARTHROCENTESIS MAJOR JOINT W/O US GUID | $388.00 | $776.00 | Oct 30, 2026 source file |
| Sentara Albemarle Regional Medical Center Elizabeth City · Elizabeth City, NC Chgr Arthrocentesis-Maj Jnt W/O Us | $392.50 | $785.00 | Apr 1, 2026 source file |
| Scotland Memorial Hospital and Edwin Morgan Center Laurinburg · Laurinburg, NC HC ARTHROCENTESIS MAJOR JOINT W/O US GUID | $398.00 | $796.00 | Oct 28, 2026 source file |
| Betsy Johnson Hospital Dunn · Anderson Creek, NC ASPIRATION AND/OR INJECTION OF FLUID FROM LARGE JOINT | $418.80 | $698.00 | Apr 7, 2026 source file |
| Cape Fear Valley - Bladen County Hospital one side Elizabethtown · Elizabethtown, NC ASPIRATION AND/OR INJECTION OF FLUID FROM LARGE JOINT | $418.80 | $698.00 | Mar 21, 2026 source file |
| Cape Fear Valley - Hoke Hospital Raeford · Fayetteville, NC ASPIRATION AND/OR INJECTION OF FLUID FROM LARGE JOINT | $418.80 | $698.00 | Mar 30, 2026 source file |
| Cape Fear Valley Medical Center Fayetteville · Fayetteville, NC ASPIRATION AND/OR INJECTION OF FLUID FROM LARGE JOINT | $418.80 | $698.00 | Mar 21, 2026 source file |
| Highsmith-Rainey Specialty Hospital one side Fayetteville · Fayetteville, NC ASPIRATION AND/OR INJECTION OF FLUID FROM LARGE JOINT | $418.80 | $698.00 | Mar 22, 2026 source file |
| ECU Health Edgecombe Hospital one side Tarboro · Rocky Mount, NC Joint/Bursa Asp/Inj W/O US Guide, Large-Lt-ED | $460.32 | $822.00 | Apr 1, 2026 source file |
| Columbus Regional Healthcare System Whiteville · Whiteville, NC 20610 DRAIN/INJ MAJOR JOINT/BURSA W/O US | $493.68 | $705.25 | Sep 1, 2025 source file |
| AdventHealth Polk Columbus · Columbus, NC HC ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US | $519.44 | $519.44 | Apr 1, 2026 source file |
| Atrium Health Anson Wadesboro · Charlotte-Concord-Gastonia, NC-SC HC ER ARTHROCENTESIS MAJOR JOINT W/O US GUID | $646.00 | $1,292.00 | Oct 28, 2026 source file |
| Atrium Health Cleveland Shelby · Shelby-Kings Mountain, NC HC ER ARTHROCENTESIS MAJOR JOINT W/O US GUID | $646.00 | $1,292.00 | Oct 28, 2026 source file |
| Atrium Health Lincoln Lincolnton · Charlotte-Concord-Gastonia, NC-SC HC ER ARTHROCENTESIS MAJOR JOINT W/O US GUID | $646.00 | $1,292.00 | Oct 29, 2026 source file |
| Atrium Health Mercy, a facility of Carolinas Medical Center Charlotte · Charlotte-Concord-Gastonia, NC-SC HC ER ARTHROCENTESIS MAJOR JOINT W/O US GUID | $646.00 | $1,292.00 | Oct 29, 2026 source file |
| Atrium Health Pineville Charlotte · Charlotte-Concord-Gastonia, NC-SC HC ER ARTHROCENTESIS MAJOR JOINT W/O US GUID | $646.00 | $1,292.00 | Oct 29, 2026 source file |
| Atrium Health Union Monroe · Charlotte-Concord-Gastonia, NC-SC HC ER ARTHROCENTESIS MAJOR JOINT W/O US GUID | $646.00 | $1,292.00 | Oct 29, 2026 source file |
| Atrium Health University City Charlotte · Charlotte-Concord-Gastonia, NC-SC HC ARTHROCENTESIS MAJOR JOINT W/O US GUID | $646.00 | $1,292.00 | Oct 29, 2026 source file |
| Carolinas Medical Center Charlotte · Charlotte-Concord-Gastonia, NC-SC HC ARTHROCENTESIS MAJOR JOINT W/O US GUID | $646.00 | $1,292.00 | Oct 29, 2026 source file |
| Carolinas Medical Center-Northeast Concord · Charlotte-Concord-Gastonia, NC-SC HC ER ARTHROCENTESIS MAJOR JOINT W/O US GUID | $646.00 | $1,292.00 | Nov 4, 2026 source file |
| Stanly Regional Medical Center Albermarle · Albemarle, NC HC ER ARTHROCENTESIS MAJOR JOINT W/O US GUID | $646.00 | $1,292.00 | Oct 29, 2026 source file |
| Harris Regional Hospital one side Sylva · Sylva, NC Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); without ultrasound guidance | $655.06 | $1,637.66 | Jul 10, 2026 source file |
| ECU Health Chowan Hospital one side Edenton · Edenton, NC Joint/Bursa Asp/Inj W/O US Guide, Large-Rt | $680.40 | $1,215.00 | Apr 1, 2026 source file |
| Person Memorial Hospital Roxboro · Durham-Chapel Hill, NC Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); without ultrasound guidance | $720.80 | $1,802.00 | Jul 10, 2026 source file |
| Frye Regional Medical Center Hickory · Hickory-Lenoir-Morganton, NC DRAIN/INJ JOINT/BURSA W/O US | $1,017.89 | $2,544.73 | Jul 8, 2026 source file |
| Mission Hospital Asheville · Asheville, NC ARTH JNTBRS MJR WO US | $1,035.19 | $1,035.19 | Sep 1, 2026 source file |
| Wilson Medical Center Wilson · Wilson, NC Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); without ultrasound guidance | $1,078.00 | $2,695.00 | Jul 10, 2026 source file |
| East Carolina Health one side Ahoskie · Ahoskie, NC Joint/Bursa Asp/Inj W/O US Guide, Large-Rt-ED | $1,134.00 | $2,025.00 | Apr 1, 2026 source file |
| Sampson Regional Medical Center Clinton · Clinton, NC Aspiration and/or injection of fluid from large joint | $1,289.40 | $1,842.00 | Nov 2, 2026 source file |
| CaroMont Regional Medical Center - Gastonia Gastonia · Charlotte-Concord-Gastonia, NC-SC HCHG INJ/ASP OF MAJOR JOINT W/O US | $1,525.00 | $1,525.00 | May 11, 2026 source file |
| Gaston Memorial Hospital Mount Holly · Charlotte-Concord-Gastonia, NC-SC HCHG INJ/ASP OF MAJOR JOINT W/O US | $1,525.00 | $1,525.00 | May 11, 2026 source file |
| Gaston Memorial Hospital one side Belmont · Charlotte-Concord-Gastonia, NC-SC HCHG ARTHROCENT MAJOR JT LT WO US | $1,525.00 | $1,525.00 | May 11, 2026 source file |
| AdventHealth Hendersonville Hendersonville · Asheville, NC HC ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US | $1,559.00 | $1,559.00 | Apr 1, 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 |
|---|---|---|---|
| Charlotte-Concord-Gastonia, NC-SC | 13 | $111.17 | $646.00 |
| Fayetteville, NC | 3 | $418.80 | $418.80 |
| Raleigh-Cary, NC | 3 | $210.87 | $294.88 |
| Winston-Salem, NC | 3 | $330.00 | $348.50 |
| Asheville, NC | 2 | $1,035.19 | $1,297.10 |
| Durham-Chapel Hill, NC | 2 | $210.87 | $465.84 |
| Mount Airy, NC | 2 | $55.76 | $221.88 |
| Ahoskie, NC | 1 | $1,134.00 | $1,134.00 |
| Asheboro, NC | 1 | $264.00 | $264.00 |
| Albemarle, NC | 1 | $646.00 | $646.00 |
| Anderson Creek, NC | 1 | $418.80 | $418.80 |
| Clinton, NC | 1 | $1,289.40 | $1,289.40 |
| Columbus, NC | 1 | $519.44 | $519.44 |
| Durham, NC | 1 | $210.87 | $210.87 |
| Edenton, NC | 1 | $680.40 | $680.40 |
| Elizabethtown, NC | 1 | $418.80 | $418.80 |
| Elizabeth City, NC | 1 | $392.50 | $392.50 |
| Forest City, NC | 1 | $260.52 | $260.52 |
| Greensboro-High Point, NC | 1 | $351.50 | $351.50 |
| Greenville, NC | 1 | $294.15 | $294.15 |
| Hickory-Lenoir-Morganton, NC | 1 | $1,017.89 | $1,017.89 |
| Kenansville, NC | 1 | $234.64 | $234.64 |
| Kill Devil Hills, NC | 1 | $255.36 | $255.36 |
| Laurinburg, NC | 1 | $398.00 | $398.00 |
| Murphy, NC | 1 | $210.70 | $210.70 |
| North Wilkesboro, NC | 1 | $373.00 | $373.00 |
| Roanoke Rapids, NC | 1 | $239.68 | $239.68 |
| Rocky Mount, NC | 1 | $460.32 | $460.32 |
| Sparta, NC | 1 | $160.00 | $160.00 |
| Sylva, NC | 1 | $655.06 | $655.06 |
| Shelby-Kings Mountain, NC | 1 | $646.00 | $646.00 |
| Whiteville, NC | 1 | $493.68 | $493.68 |
| Windsor, NC | 1 | $198.24 | $198.24 |
| Washington, NC | 1 | $294.15 | $294.15 |
| Wilson, NC | 1 | $1,078.00 | $1,078.00 |
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
- 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 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.