Joint aspiration (small/intermediate) Cost

Joint aspiration (small/intermediate) is a hospital service. Prices are from 2245 US hospitals across 52 states, from their machine-readable files.

$396median cash price · 2245 hospitals, 52 statestypically $146–$1,083 depending on the hospital
≈ 7.0× Medicare · High vs MedicareFind hospitals near you

Price comparison (median)

Chargemaster (list price)
$755
Cash / self-pay
$396
Insurer-negotiated
$357
Medicare pays
$57
$146$1,083
Median cash $396  ·  Medicare $57  ·  bar = typical cash range (10th–90th percentile)
Is this a fair price?
1× Medicarefair ≈2×5×+

Typical cash price here is $396 — about 7.0× the Medicare rate ($57). High vs Medicare. A fair cash price is usually within ~2× Medicare ($113).

💡 Asking for the cash price instead of the $755 list price could save about $359 (48%).

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Rough estimate from this procedure’s median insurer-negotiated rate. Your actual cost depends on your plan — confirm with your insurer.

Lowest cash prices

HospitalLocationCashInsurerCMS ratingER waitReadmit
Contra Costa Regional Medical Center Martinez, CA $60 ★ 4/5 175 min 14.2%
Twin City Medical Center Dennison, OH $60 $90 15.0%
Trinity Hospital Weaverville, CA $62 $59 70 min 14.5%
Ozark Health Clinton, AR $62 $130 ★ 4/5 150 min 14.7%
Nemaha County Hospital Auburn, NE $62 $34 110 min 14.7%
John H Stroger Jr Hospital Chicago, IL $63 $45 ★ 2/5 280 min 15.0%
Provident Hospital of Chicago Chicago, IL $63 $45 222 min 15.5%
Merrick Medical Center Central City, NE $65 $104 125 min 14.6%
Crete Area Medical Center Crete, NE $65 $104 100 min 14.8%
Smith County Emergency Hospital Raleigh, MS $66 $216
Covington County Hospital CAH Collins, MS $66 $216 72 min 14.8%
Grove Hill Memorial Hospital Grove Hill, AL $66 $283 162 min
Hocking Valley Community Hospital Logan, OH $66 $51 15.3%
Community Hospital, Onaga and St Marys Campus Onaga, KS $67 $138 138 min 15.2%
Madison Parish Hospital Tallulah, LA $68 $85 121 min
Coleman County Medical Center Company Coleman, TX $68 $55 134 min 15.5%
Mercyone Dyersville Medical Center Dyersville, IA $69 $88 103 min
Nathan Littauer Hospital Gloversville, NY $70 ★ 2/5 172 min 15.0%
Fisher County Hospital District Rotan, TX $70 $71 107 min
McKenzie Health System Sandusky, MI $70 $57 134 min 15.1%
Weeks Medical Center Lancaster, NH $71 $68 106 min 14.6%
Hospital De La Concepcion San German, PR $71 $1,375 16.2%
Lawrence Memorial Hospital Walnut Ridge, AR $72 $82 93 min 15.0%
Casey County Hospital Liberty, KY $73 ★ 3/5 100 min 15.2%
Boone County Health Center Albion, NE $73 $56 ★ 4/5 110 min 15.5%

CMS rating = overall hospital star rating (1–5); ER wait = median minutes in the emergency department; Readmit = 30-day readmission rate (lower is better) — all from Medicare’s Care Compare; “—” = not reported. Data last updated August 2026. Prices from hospitals’ machine-readable files (45 CFR §180); Medicare benchmark from CMS PFS/CLFS/IPPS. Prices below 15% of the median are excluded as likely partial or mis-coded charges. Estimates — confirm with the hospital. Report an incorrect price.

What insurers pay for Joint aspiration (small/intermediate)

Median in-network negotiated rate by insurer, across hospitals that publish it (cheapest first). Your actual rate depends on your specific plan and deductible. Cash / self-pay for comparison: $396; Medicare pays $57.

InsurerHospitalsNegotiated median
Medicaid 335
$26
$12 – $272
Univera 15
$44
$29 – $67
Amerigroup 159
$49
$24 – $332
Medicare 542
$50
$15 – $368
Independent Health 27
$68
$30 – $409
Workers' Comp / No-Fault 125
$179
$57 – $725
AmeriHealth 212
$184
$23 – $971
Tricare / VA 383
$230
$25 – $582
Molina Healthcare 562
$245
$25 – $868
Harvard Pilgrim 43
$247
$81 – $820
Highmark 127
$263
$22 – $1,104
Centene / Ambetter 767
$272
$23 – $948
Geisinger 72
$281
$25 – $1,281
Priority Health 55
$284
$37 – $2,571
Devoted Health 156
$287
$60 – $363
Humana 1013
$288
$34 – $2,334
UPMC Health Plan 96
$290
$28 – $815
Sanford Health Plan 77
$294
$37 – $713
UCare 78
$295
$34 – $670
HealthPartners 257
$298
$33 – $862
Blue Cross Blue Shield 1289
$300
$24 – $1,780
Anthem 543
$302
$23 – $2,716
Medica 240
$315
$62 – $1,015
UnitedHealthcare 1511
$316
$37 – $2,174
MVP Health Care 72
$331
$49 – $2,571
Kaiser Permanente 218
$339
$26 – $971
Security Health Plan 61
$350
$92 – $962
SelectHealth 44
$363
$121 – $4,882
Aetna 1380
$389
$52 – $3,189
Health Net 304
$393
$50 – $1,142
Coventry 151
$473
$86 – $1,242
EmblemHealth 61
$475
$86 – $10,047
MultiPlan / PHCS network 791
$551
$115 – $1,336
AvMed 57
$594
$270 – $24,023
Cigna 1143
$794
$91 – $5,153
Bright Health 54
$827
$407 – $2,644
Oscar Health 229
$1,575
$162 – $3,007
Healthcare Highways 49
$2,069
$251 – $14,320

Negotiated rates are from hospitals’ machine-readable files (45 CFR §180); payer names are normalized to major brands, so a brand may span several plans. Estimates — confirm with your insurer.

Where it’s cheapest

StateMedian cash
Mississippi$143
New Hampshire$153
Maryland$156
Nebraska$232
Arkansas$265
Montana$268

Prices by city

Prices by state

Does Medicare cover Joint aspiration (small/intermediate)?

Yes — Medicare generally covers Joint aspiration (small/intermediate). It is typically an outpatient service under Medicare Part B, with a Medicare-approved amount of about $57. After your annual Part B deductible, you typically owe the 20% coinsurance — roughly $11 — unless a Medicare Advantage or supplemental (Medigap) plan covers it.

General guidance from Medicare’s national rates — your actual coverage and share depend on medical necessity, your plan, and where the service is performed. Confirm with Medicare or your plan.

About these prices

Based on prices published by 2245 US hospitals across 52 states, the typical (median) cash price is $396, versus a chargemaster (list) price around $755, a median insurer-negotiated rate of $357, a Medicare rate of about $57. Most cash prices fall between $146 and $1,083 — a wide spread, which is exactly why comparing hospitals pays off.

How to save

  • Ask each hospital for its cash / self-pay price — for shoppable services it is often far below the list price.
  • Compare several nearby hospitals; prices for the same service can differ severalfold.
  • Request a written estimate and the billing code (CPT/DRG) before scheduling.
  • Use the Medicare benchmark above to judge whether a quote is reasonable.
  • If you are uninsured, ask about financial assistance or prompt-pay discounts.

Frequently asked questions

How much does Joint aspiration (small/intermediate) cost without insurance?
The median cash (self-pay) price across 2245 US hospitals is $396. Most hospitals fall between $146 and $1,083. Prices vary widely between hospitals, so it pays to compare before you book.
Does Medicare cover Joint aspiration (small/intermediate)?
Yes — it is generally covered under Medicare Part B as an outpatient service (Medicare-approved amount about $57). After your Part B deductible you typically owe 20% coinsurance, unless a Medicare Advantage or Medigap plan covers it.
What does Medicare pay for Joint aspiration (small/intermediate)?
Medicare pays about $57. We show this as a benchmark — a fair cash price is often within a few multiples of the Medicare rate.
Why do Joint aspiration (small/intermediate) prices vary between hospitals?
Hospitals set their own chargemaster and cash prices and negotiate different rates with each insurer, so two hospitals in the same area can charge very differently for the same service.
Is the cash price lower than using insurance?
Sometimes. If you are uninsured or have a high deductible, the cash/self-pay price can be lower than the insurer-negotiated rate — ask the hospital for both.

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