Joint injection (cortisone shot) cost in Virginia
In Virginia, 53 hospitals publish a cash price for injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound: from $131.10 to $3,215.39, with a median of $387.46. The lowest price is at Bon Secours Southern Virginia Medical Center (Emporia) and 1 other hospital. The highest price is 24.5× the lowest.
- The median here, $387.46, is 12% below the US median of $439.76.
- That is 1.2× Medicare's 2026 national rate for the same service ($313.60).
- Virginia ranks 21st of 50 states by median, cheapest first.
- Every hospital here lists a cash price below its full list price.
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 Oct 29, 2026. See them on a map
Lowest$131.10Bon Secours Southern Virginia Medical Center + 1 more
Median$387.46half of hospitals charge less
Highest$3,215.39in Virginia
Lowest saves$256.36vs the median
Hospitals in Virginia, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| Bon Secours Southern Virginia Medical Center lowest Emporia · Emporia, VA HC Asp Injection Major Joint | $131.10 | $437.00 | Apr 1, 2026 source file |
| Bon Secours Southside Medical Center lowest Petersburg · Richmond, VA HC Asp Injection Major Joint | $131.10 | $437.00 | Apr 1, 2026 source file |
| Bon Secours Maryview Medical Center Portsmouth · Virginia Beach-Chesapeake-Norfolk, VA-NC HC Joint Injection/Aspir Large WO US | $186.00 | $310.00 | Apr 1, 2026 source file |
| Bath Community Hospital Hot Springs · Hot Springs, VA ARTHROCENTESIS MAJOR JOINT | $227.30 | $324.71 | Mar 25, 2026 source file |
| Bon Secours Memorial Regional Medical Center Mechanicsville · Richmond, VA HC Asp Injection Major Joint | $262.20 | $437.00 | Apr 1, 2026 source file |
| Bon Secours Richmond Community Hospital Richmond · Richmond, VA HC Asp Injection Major Joint | $262.20 | $437.00 | Apr 1, 2026 source file |
| Bon Secours St Francis Medical Center Midlothian · Richmond, VA HC Asp Injection Major Joint | $262.20 | $437.00 | Apr 1, 2026 source file |
| Bon Secours St Marys Hospital of Richmond Richmond · Richmond, VA HC Asp Injection Major Joint | $262.20 | $437.00 | Apr 1, 2026 source file |
| Sentara Martha Jefferson Hospital Charlottesville · Charlottesville, VA 20610 Arthrcents-Mj Jnt W/O Us | $268.00 | $536.00 | Apr 1, 2026 source file |
| Sentara RMH Medical Center Harrisonburg · Harrisonburg, VA 20610 Arthrcents-Mj Jnt W/O Us | $268.00 | $536.00 | Apr 1, 2026 source file |
| Dickenson Community Hospital one side Clintwood · Clintwood, VA HC ARTHROCENTESIS ASP INJ MAJ JT W/O US GUID UNILAT | $289.57 | $1,259.00 | Mar 23, 2026 source file |
| Lee County Community Hospital one side Pennington Gap · Pennington Gap, VA HC ARTHROCENTESIS ASP INJ MAJ JT W/O US GUID UNILAT | $289.57 | $1,259.00 | Mar 23, 2026 source file |
| Riverside Smithfield Hospital Smithfield · Virginia Beach-Chesapeake-Norfolk, VA-NC Arthrocentesis Major Joint W/O US | $294.75 | $589.50 | Mar 11, 2026 source file |
| Johnston Memorial Hospital one side Abingdon · Kingsport-Bristol, TN-VA HC ARTHROCENTESIS ASP INJ MAJ JT W/O US GUID UNILAT | $295.05 | $1,967.00 | Mar 23, 2026 source file |
| Lonesome Pine Hospital one side Big Stone Gap · Big Stone Gap, VA HC ARTHROCENTESIS ASP INJ MAJ JT W/O US GUID UNILAT | $295.05 | $1,967.00 | Mar 23, 2026 source file |
| Russell County Hospital one side Lebanon · Lebanon, VA HC ARTHROCENTESIS ASP INJ MAJ JT W/O US GUID UNILAT | $295.05 | $1,967.00 | Mar 23, 2026 source file |
| Smyth County Community Hospital one side Marion · Marion, VA HC ARTHROCENTESIS ASP INJ MAJ JT W/O US GUID UNILAT | $295.05 | $1,967.00 | Mar 23, 2026 source file |
| Augusta Health one side Fishersville · Staunton-Stuarts Draft, VA Inj/Asp Major Joint/Bursa Rt | $334.00 | $668.00 | Apr 1, 2026 source file |
| Mary Washington Hospital Fredericksburg · Washington-Arlington-Alexandria, DC-VA-MD-WV Drain/inj joint/bursa w/o us | $335.50 | $671.00 | Dec 30, 2024 source file |
| Stafford Hospital Stafford · Washington-Arlington-Alexandria, DC-VA-MD-WV Drain/inj joint/bursa w/o us | $335.50 | $671.00 | Dec 30, 2024 source file |
| Carilion Giles Community Hospital Roanoke · Roanoke, VA HB XR ARTHROCENTESIS MAJOR JOINT | $366.45 | $1,047.00 | Dec 15, 2025 source file |
| Carilion New River Valley Medical Center Christiansburg · Blacksburg-Christiansburg-Radford, VA HB XR ARTHROCENTESIS MAJOR JOINT | $366.45 | $1,047.00 | Dec 15, 2025 source file |
| Carilion Roanoke Community Hospital Roanoke · Roanoke, VA HB SP ARTHROCENTESIS MAJOR JOI | $366.45 | $1,047.00 | Dec 15, 2025 source file |
| Carilion Roanoke Memorial Hospital Roanoke · Roanoke, VA HB SP ARTHROCENTESIS MAJOR JOI | $366.45 | $1,047.00 | Apr 17, 2026 source file |
| Carilion Rockbridge Community Hospital Lexington · Lexington, VA HB XR ARTHROCENTESIS MAJOR JOINT | $366.45 | $1,047.00 | Dec 15, 2025 source file |
| Carilion Tazewell Community Hospital Tazewell · Bluefield, WV-VA HB XR ARTHROCENTESIS MAJOR JOINT | $366.45 | $1,047.00 | Dec 15, 2025 source file |
| Wythe County Community Hospital Wytheville · Wytheville, VA Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); without ultrasound guidance | $387.46 | $968.64 | Jul 10, 2026 source file |
| Rappahannock General Hospital Kilmarnock · Kilmarnock, VA HC Asp Injection Major Joint | $406.80 | $678.00 | Apr 1, 2026 source file |
| Bon Secours Southampton Memorial Hospital Franklin · Roanoke, VA HC Arthrocent/Aspiration Maj Jnt | $444.30 | $1,481.00 | Apr 1, 2026 source file |
| Carilion Franklin Memorial Hospital one side Rocky Mt · Roanoke, VA HB ARTHROCENTESIS MAJOR JOI LT | $477.40 | $1,364.00 | Dec 15, 2025 source file |
| Inova Alexandria Hospital Alexandria · Washington-Arlington-Alexandria, DC-VA-MD-WV HC INJ/ASP MAJOR JNT/BURSA WO US GUID | $478.00 | $956.00 | Apr 1, 2026 source file |
| Inova Fair Oaks Hospital Fairfax · Washington-Arlington-Alexandria, DC-VA-MD-WV HC INJ/ASP MAJOR JNT/BURSA WO US GUID | $478.00 | $956.00 | Apr 1, 2026 source file |
| Inova Fairfax Hospital Falls Church · Washington-Arlington-Alexandria, DC-VA-MD-WV HC INJ/ASP MAJOR JNT/BURSA WO US GUID | $478.00 | $956.00 | Apr 1, 2026 source file |
| Inova Loudoun Hospital Leesburg · Washington-Arlington-Alexandria, DC-VA-MD-WV HC INJ/ASP MAJOR JNT/BURSA WO US GUID | $478.00 | $956.00 | Apr 1, 2026 source file |
| Inova Mount Vernon Hospital Alexandria · Washington-Arlington-Alexandria, DC-VA-MD-WV HC INJ/ASP MAJOR JNT/BURSA WO US GUID | $478.00 | $956.00 | Apr 1, 2026 source file |
| Hospital for Extended Recovery Norfolk · Virginia Beach-Chesapeake-Norfolk, VA-NC Chgr Arthrocentesis-Maj Jnt W/O Us | $523.00 | $1,046.00 | Apr 1, 2026 source file |
| Sentara Careplex Hospital Hampton · Virginia Beach-Chesapeake-Norfolk, VA-NC Spec-Arthrocent-Maj Jnt W/O Us | $523.00 | $1,046.00 | Apr 1, 2026 source file |
| Sentara Halifax Regional Hospital South Boston · South Boston, VA Oth-Inj Major Jnt/Bur W/O Us | $523.00 | $1,046.00 | Apr 1, 2026 source file |
| Sentara Leigh Hospital Norfolk · Virginia Beach-Chesapeake-Norfolk, VA-NC 20610 Arthrcents-Mj Jnt W/O Us | $523.00 | $1,046.00 | Apr 1, 2026 source file |
| Sentara Norfolk General Hospital Norfolk · Virginia Beach-Chesapeake-Norfolk, VA-NC Spec-Arthrocent-Maj Jnt W/O Us | $523.00 | $1,046.00 | Apr 1, 2026 source file |
| Sentara Northern Virginia Medical Center Woodbridge · Washington-Arlington-Alexandria, DC-VA-MD-WV Chgr Arthrocentesis-Maj Jnt W/O Us | $523.00 | $1,046.00 | Apr 1, 2026 source file |
| Sentara Obici Hospital Suffolk · Suffolk, VA Spec-Arthrocent-Maj Jnt W/O Us | $523.00 | $1,046.00 | Apr 1, 2026 source file |
| Sentara Princess Anne Hospital Virginia Beach · Virginia Beach-Chesapeake-Norfolk, VA-NC Chgr Arthrocentesis-Maj Jnt W/O Us | $523.00 | $1,046.00 | Apr 1, 2026 source file |
| Sentara Virginia Beach General Hospital Virginia Beach · Virginia Beach-Chesapeake-Norfolk, VA-NC 20610 Arthrcents-Mj Jnt W/O Us | $523.00 | $1,046.00 | Apr 1, 2026 source file |
| Chesapeake General Hospital Chesapeake · Virginia Beach-Chesapeake-Norfolk, VA-NC Hc Asp Injection Major Joint | $541.54 | $902.57 | Jul 1, 2026 source file |
| Bon Secours Harbour View Medical Center Suffolk · Virginia Beach-Chesapeake-Norfolk, VA-NC HC Inj/Asp Maj Jnt or Bursa | $648.00 | $1,080.00 | Apr 1, 2026 source file |
| Mary Immaculate Hospital Newport News · Virginia Beach-Chesapeake-Norfolk, VA-NC HC Asp Injection Major Joint | $648.00 | $1,080.00 | Apr 1, 2026 source file |
| Clinch Valley Health Richlands · Bluefield, WV-VA Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); without ultrasound guidance | $655.34 | $1,638.35 | Jul 14, 2026 source file |
| Twin County Regional Healthcare Galax · Galax, VA Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); without ultrasound guidance | $1,310.90 | $3,277.25 | Jul 10, 2026 source file |
| Sovah Health - Martinsville Martinsville · Martinsville, VA Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); without ultrasound guidance | $2,497.00 | $6,242.50 | Jul 10, 2026 source file |
| Fauquier Health Warrenton · Washington-Arlington-Alexandria, DC-VA-MD-WV Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); without ultrasound guidance | $2,516.38 | $6,290.95 | Jul 14, 2026 source file |
| Sovah Health - Danville Danville · Danville, VA Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); without ultrasound guidance | $2,607.80 | $6,519.50 | Jul 11, 2026 source file |
| Children's Hospital of the King's Daughters Norfolk · Virginia Beach-Chesapeake-Norfolk, VA-NC DRN/INJ MJR JNT/BRS-NO US | $3,215.39 | $3,572.66 | Mar 17, 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
By metro area
Each metro page compares every listing, including prices for both sides of the body.
| Metro area | Hospitals | Lowest | Median |
|---|---|---|---|
| Virginia Beach-Chesapeake-Norfolk, VA-NC | 12 | $186.00 | $523.00 |
| Washington-Arlington-Alexandria, DC-VA-MD-WV | 9 | $335.50 | $478.00 |
| Richmond, VA | 5 | $131.10 | $262.20 |
| Roanoke, VA | 5 | $366.45 | $366.45 |
| Bluefield, WV-VA | 2 | $366.45 | $510.90 |
| Big Stone Gap, VA | 1 | $295.05 | $295.05 |
| Blacksburg-Christiansburg-Radford, VA | 1 | $366.45 | $366.45 |
| Clintwood, VA | 1 | $289.57 | $289.57 |
| Charlottesville, VA | 1 | $268.00 | $268.00 |
| Danville, VA | 1 | $2,607.80 | $2,607.80 |
| Emporia, VA | 1 | $131.10 | $131.10 |
| Galax, VA | 1 | $1,310.90 | $1,310.90 |
| Hot Springs, VA | 1 | $227.30 | $227.30 |
| Harrisonburg, VA | 1 | $268.00 | $268.00 |
| Kilmarnock, VA | 1 | $406.80 | $406.80 |
| Kingsport-Bristol, TN-VA | 1 | $295.05 | $295.05 |
| Lebanon, VA | 1 | $295.05 | $295.05 |
| Lexington, VA | 1 | $366.45 | $366.45 |
| Marion, VA | 1 | $295.05 | $295.05 |
| Martinsville, VA | 1 | $2,497.00 | $2,497.00 |
| Pennington Gap, VA | 1 | $289.57 | $289.57 |
| South Boston, VA | 1 | $523.00 | $523.00 |
| Suffolk, VA | 1 | $523.00 | $523.00 |
| Staunton-Stuarts Draft, VA | 1 | $334.00 | $334.00 |
| Wytheville, VA | 1 | $387.46 | $387.46 |
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
- 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
- Washington$484.86
- West Virginia$343.50
- Wisconsin$399.36
- Wyoming$408.00
Median cash price across the state's hospitals.