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Procedure price report · Injections and aspirations of muscles, tendons, bursa, joints and soft tissue

Injection into a tendon sheath, ligament or fascia

CPT 20550the billing code this page is about

Single injection of medication into one tendon sheath, ligament, or the fibrous tissue such as the plantar fascia of the foot.

Hospitals typically charge $322 cash for this outpatient procedure — the median across 2,666 hospitals that filed a usable cash price; the average of the middle 60% is $338. Most fall between $118 and $681 (20th–80th percentile).

Hospitals
2,666
States
50
Filings dated
Aug 2022 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 24, 2026

Median: half of hospitals filed less, half more — and it is a price some hospital actually filed. Average of the middle 60%: the mean of the prices between the 20th and 80th percentiles. We never publish the plain average, the lowest or the highest price: the extremes in hospital price files are chargemaster artefacts, not prices anyone pays.

What hospitals charge, from cheapest to most expensive

Cash price percentiles, outpatient, across 2,666 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$73$143$322$595$1,076

The most expensive tenth of hospitals charges at least 15× what the cheapest tenth charges ($73 vs $1,076).

How the prices are spread

$52 – $74: 135 hospitals$52$74 – $104: 189 hospitals$104 – $146: 223 hospitals$104$146 – $206: 256 hospitals$206 – $290: 280 hospitals$206$290 – $408: 398 hospitals$408 – $574: 351 hospitals$408$574 – $808: 260 hospitals$808 – $1,137: 199 hospitals$808$1,137 – $1,600: 122 hospitals$1,137median $322price bands are equal on a log scale
Hospitals per price band (2,413 of 2,666 — the bands cover the 5th to 95th percentile)
FromToHospitals
$52$74135
$74$104189
$104$146223
$146$206256
$206$290280
$290$408398
$408$574351
$574$808260
$808$1,137199
$1,137$1,600122

Against Medicare

Medicare pays (OPPS 2026, national rate)$314
Median cash price$322
Cash as a multiple of Medicare1.03×

The Medicare figure is the national unadjusted OPPS rate for this code — what Medicare itself pays a hospital before local wage adjustment. It is a benchmark, not a price anyone is charged.

By state

The median cash price in each state, against the national median of $322.

Alaska: median $325 across 15 hospitalsAK$325Maine: median $190 across 23 hospitalsME$190Vermont: median $111 across 12 hospitalsVT$111New Hampshire: median $95 across 15 hospitalsNH$95Washington: median $214 across 75 hospitalsWA$214Idaho: median $185 across 21 hospitalsID$185Montana: median $86 across 30 hospitalsMT$86North Dakota: median $162 across 24 hospitalsND$162Minnesota: median $304 across 95 hospitalsMN$304Illinois: median $348 across 115 hospitalsIL$348Wisconsin: median $257 across 98 hospitalsWI$257Michigan: median $373 across 85 hospitalsMI$373New York: median $383 across 107 hospitalsNY$383Massachusetts: median $502 across 46 hospitalsMA$502Oregon: median $113 across 50 hospitalsOR$113Nevada: median $315 across 16 hospitalsNV$315Wyoming: median $179 across 13 hospitalsWY$179South Dakota: median $195 across 25 hospitalsSD$195Iowa: median $165 across 83 hospitalsIA$165Indiana: median $202 across 62 hospitalsIN$202Ohio: median $339 across 123 hospitalsOH$339Pennsylvania: median $363 across 116 hospitalsPA$363New Jersey: median $411 across 56 hospitalsNJ$411Connecticut: median $220 across 21 hospitalsCT$220Rhode Island: 7 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $660 across 162 hospitalsCA$660Utah: median $353 across 32 hospitalsUT$353Colorado: median $245 across 60 hospitalsCO$245Nebraska: median $144 across 71 hospitalsNE$144Missouri: median $250 across 74 hospitalsMO$250Kentucky: median $374 across 48 hospitalsKY$374West Virginia: median $294 across 37 hospitalsWV$294Virginia: median $368 across 51 hospitalsVA$368Maryland: 9 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 5 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $395 across 35 hospitalsAZ$395New Mexico: median $351 across 20 hospitalsNM$351Kansas: median $136 across 76 hospitalsKS$136Arkansas: median $181 across 20 hospitalsAR$181Tennessee: median $235 across 45 hospitalsTN$235North Carolina: median $371 across 59 hospitalsNC$371South Carolina: median $547 across 43 hospitalsSC$547Oklahoma: median $193 across 52 hospitalsOK$193Louisiana: median $238 across 36 hospitalsLA$238Mississippi: median $159 across 43 hospitalsMS$159Alabama: median $340 across 27 hospitalsAL$340Georgia: median $1,009 across 74 hospitalsGA$1,009Hawaii: median $523 across 14 hospitalsHI$523Texas: median $441 across 164 hospitalsTX$441Florida: median $558 across 76 hospitalsFL$558
Cash price by state, most expensive first. National median $322. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Georgia GA74$1,009+213%$181 – $1,396
California CA162$660+105%$313 – $1,274
Florida FL76$558+73%$278 – $844
South Carolina SC43$547+70%$305 – $965
Hawaii HI14$523+62%$67 – $801
Massachusetts MA46$502+56%$254 – $623
Texas TX164$441+37%$159 – $597
New Jersey NJ56$411+27%$327 – $3,986
Arizona AZ35$395+22%$135 – $883
New York NY107$383+19%$128 – $788
Kentucky KY48$374+16%$68 – $1,406
Michigan MI85$373+16%$119 – $666
North Carolina NC59$371+15%$160 – $461
Virginia VA51$368+14%$235 – $424
Pennsylvania PA116$363+13%$182 – $895
Utah UT32$353+9%$300 – $359
New Mexico NM20$351+9%$112 – $2,058
Illinois IL115$348+8%$156 – $720
Alabama AL27$340+5%$155 – $751
Ohio OH123$339+5%$217 – $910
Alaska AK15$325+1%$152 – $363
Nevada NV16$315−2%$170 – $368
Minnesota MN95$304−6%$97 – $481
West Virginia WV37$294−9%$118 – $469
Wisconsin WI98$257−20%$160 – $535
Missouri MO74$250−23%$90 – $571
Colorado CO60$245−24%$141 – $405
Louisiana LA36$238−26%$100 – $477
Tennessee TN45$235−27%$83 – $407
Connecticut CT21$220−32%$170 – $646
Washington WA75$214−34%$105 – $628
Indiana IN62$202−37%$94 – $760
South Dakota SD25$195−39%$71 – $432
Oklahoma OK52$193−40%$70 – $518
Maine ME23$190−41%$80 – $302
Idaho ID21$185−43%$72 – $672
Arkansas AR20$181−44%$67 – $468
Wyoming WY13$179−44%$97 – $262
Iowa IA83$165−49%$78 – $479
North Dakota ND24$162−50%$95 – $404
Mississippi MS43$159−51%$89 – $332
Nebraska NE71$144−55%$92 – $216
Kansas KS76$136−58%$82 – $278
Oregon OR50$113−65%$78 – $282
Vermont VT12$111−66%$83 – $670
New Hampshire NH15$95−70%$59 – $284
Montana MT30$86−73%$48 – $228
Maryland MD9not enough hospitals filed a usable price
Rhode Island RI7not enough hospitals filed a usable price
Delaware DE5not enough hospitals filed a usable price

Hospitals like yours

The same distribution cut by the kind of hospital. Hospital type and ownership come from CMS; a hospital counts as part of a system when its price file is shared with at least one other hospital under the same brand. The national median is $322.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,831$393$170 – $844
Children’s53$477$220 – $1,385
Critical access775$155$78 – $384
Ownership
For-profit244$461$199 – $1,310
Government540$187$90 – $446
Non-profit1,875$341$130 – $683
System affiliation
Part of a system2,132$353$136 – $767
Independent534$192$81 – $461

Cash price vs list price

Median list price (chargemaster)$553
Median cash price$322
Cash as a share of list, median hospital65%

At the typical hospital, asking for the cash price cuts the list price by about 35%. The share is the median of each hospital’s own cash ÷ list ratio, over hospitals that filed both — not the ratio of the two medians above.

The same procedure, inpatient

1,875 hospitals filed a usable inpatient cash price for this code. The median is $368 and the average of the middle 60% is $378; most fall between $142 and $718.

Cash price percentiles, inpatient, across 1,875 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$88$178$368$634$1,002

The most expensive tenth of hospitals charges at least 11× what the cheapest tenth charges ($88 vs $1,002).

Of the 2,014 hospitals that filed this code inpatient, 1,875 gave a usable cash price; 52 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 87 a list price only.

How complete is this

2,666 of the 3,956 hospitals with a price file in our corpus (67%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 2,859 hospitals that filed this code at all gave us
Usable cash price — counted2,666
Cash price carrying a plausibility flag — shown on the compare tool, excluded here93
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded2
A list price only, no cash figure — excluded98
Hospitals that filed this code2,859

Sections not shown for this setting

  • Since our last snapshot: there is no earlier snapshot at least 90 days older than this one yet.

We last checked these hospitals’ price files for changes between July 20, 2026 and September 24, 2026; the figures were computed September 25, 2026 from filings loaded through September 24, 2026. The percentiles and averages use only the “counted” row.

Related procedures

Part of the Injections and aspirations of muscles, tendons, bursa, joints and soft tissue family.

Hospitals file this code under descriptions such as Injection 1 Tendon Sheath/Ligament Aponeurosis.

Method

Source
The machine-readable price files every U.S. hospital is required by CMS to publish, parsed per hospital. Nothing is surveyed, sampled or modelled.
What counts
One cash (self-pay) price per hospital for this code and setting. A hospital’s own filing can rule its number out — a placeholder, a “not applicable” note, a list price standing in for cash — and our plausibility checks can flag a price far below what every other hospital files. Both kinds are disclosed above and excluded from the statistics; on the compare tool a flagged price is still shown.
Statistics
Percentiles are discrete: each is a price some hospital filed. The average is the mean of the prices between the 20th and 80th percentiles. We never publish the plain mean, the minimum or the maximum. A state needs 10 hospitals and a segment 20 to show a figure; otherwise the row shows its count and no number. Medicare is the national unadjusted OPPS rate where one exists.
Names
Procedure names on these pages are our own plain-language titles, not the AMA’s copyrighted CPT descriptors. The code is the identity.

The full rules — sources, statistics, thresholds, limitations — are on the methodology page.

Download this page’s figures: JSON · CSV. Aggregates only — the per-hospital prices are on the compare tool.

Cite: HospitalRates.com, “Injection into a tendon sheath, ligament or fascia (CPT 20550) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-20550-injection-into-a-tendon-sheath-ligament-or-fascia