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

Trigger point injection in one or two muscles

CPT 20552the billing code this page is about

Injection of medication into tender knots in muscle; this code covers the session when one or two muscles are treated, no matter how many needle sticks.

Hospitals typically charge $346 cash for this outpatient procedure — the median across 2,919 hospitals that filed a usable cash price; the average of the middle 60% is $357. Most fall between $111 and $703 (20th–80th percentile).

Hospitals
2,919
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 2,919 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
$71$141$346$624$1,078

The most expensive tenth of hospitals charges at least 15× what the cheapest tenth charges ($71 vs $1,078).

How the prices are spread

$50 – $70: 140 hospitals$50$70 – $98: 216 hospitals$98 – $136: 214 hospitals$98$136 – $190: 225 hospitals$190 – $265: 267 hospitals$190$265 – $370: 362 hospitals$370 – $517: 426 hospitals$370$517 – $722: 365 hospitals$722 – $1,007: 232 hospitals$722$1,007 – $1,406: 186 hospitals$1,007median $346price bands are equal on a log scale
Hospitals per price band (2,633 of 2,919 — the bands cover the 5th to 95th percentile)
FromToHospitals
$50$70140
$70$98216
$98$136214
$136$190225
$190$265267
$265$370362
$370$517426
$517$722365
$722$1,007232
$1,007$1,406186

Against Medicare

Medicare pays (OPPS 2026, national rate)$314
Median cash price$346
Cash as a multiple of Medicare1.10×

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 $346.

Alaska: median $332 across 16 hospitalsAK$332Maine: median $116 across 23 hospitalsME$116Vermont: median $265 across 12 hospitalsVT$265New Hampshire: median $73 across 19 hospitalsNH$73Washington: median $285 across 77 hospitalsWA$285Idaho: median $151 across 23 hospitalsID$151Montana: median $110 across 34 hospitalsMT$110North Dakota: median $192 across 26 hospitalsND$192Minnesota: median $294 across 105 hospitalsMN$294Illinois: median $361 across 117 hospitalsIL$361Wisconsin: median $241 across 103 hospitalsWI$241Michigan: median $364 across 85 hospitalsMI$364New York: median $349 across 111 hospitalsNY$349Massachusetts: median $478 across 50 hospitalsMA$478Oregon: median $105 across 54 hospitalsOR$105Nevada: median $311 across 19 hospitalsNV$311Wyoming: median $120 across 15 hospitalsWY$120South Dakota: median $177 across 26 hospitalsSD$177Iowa: median $182 across 91 hospitalsIA$182Indiana: median $239 across 67 hospitalsIN$239Ohio: median $631 across 139 hospitalsOH$631Pennsylvania: median $397 across 122 hospitalsPA$397New Jersey: median $395 across 55 hospitalsNJ$395Connecticut: median $345 across 23 hospitalsCT$345Rhode Island: 8 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $624 across 174 hospitalsCA$624Utah: median $353 across 32 hospitalsUT$353Colorado: median $254 across 65 hospitalsCO$254Nebraska: median $128 across 78 hospitalsNE$128Missouri: median $299 across 71 hospitalsMO$299Kentucky: median $488 across 48 hospitalsKY$488West Virginia: median $294 across 36 hospitalsWV$294Virginia: median $366 across 56 hospitalsVA$366Maryland: median $212 across 12 hospitalsMD$212Delaware: 5 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $448 across 41 hospitalsAZ$448New Mexico: median $318 across 29 hospitalsNM$318Kansas: median $123 across 85 hospitalsKS$123Arkansas: median $180 across 36 hospitalsAR$180Tennessee: median $246 across 54 hospitalsTN$246North Carolina: median $422 across 71 hospitalsNC$422South Carolina: median $475 across 43 hospitalsSC$475Oklahoma: median $227 across 63 hospitalsOK$227Louisiana: median $224 across 47 hospitalsLA$224Mississippi: median $155 across 47 hospitalsMS$155Alabama: median $340 across 35 hospitalsAL$340Georgia: median $1,170 across 82 hospitalsGA$1,170Hawaii: median $479 across 18 hospitalsHI$479Texas: median $504 across 176 hospitalsTX$504Florida: median $592 across 95 hospitalsFL$592
Cash price by state, most expensive first. National median $346. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Georgia GA82$1,170+238%$221 – $1,282
Ohio OH139$631+82%$252 – $1,051
California CA174$624+80%$326 – $1,274
Florida FL95$592+71%$216 – $1,104
Texas TX176$504+46%$205 – $703
Kentucky KY48$488+41%$75 – $1,185
Hawaii HI18$479+38%$427 – $961
Massachusetts MA50$478+38%$139 – $643
South Carolina SC43$475+37%$398 – $1,046
Arizona AZ41$448+30%$136 – $1,019
North Carolina NC71$422+22%$172 – $794
Pennsylvania PA122$397+15%$200 – $602
New Jersey NJ55$395+14%$327 – $3,986
Virginia VA56$366+6%$227 – $488
Michigan MI85$364+5%$99 – $521
Illinois IL117$361+4%$144 – $698
Utah UT32$353+2%$353 – $415
New York NY111$349+1%$105 – $792
Connecticut CT23$3450%$170 – $631
Alabama AL35$340−2%$104 – $549
Alaska AK16$332−4%$237 – $517
New Mexico NM29$318−8%$85 – $686
Nevada NV19$311−10%$179 – $335
Missouri MO71$299−14%$105 – $933
West Virginia WV36$294−15%$140 – $606
Minnesota MN105$294−15%$100 – $476
Washington WA77$285−18%$100 – $652
Vermont VT12$265−23%$70 – $670
Colorado CO65$254−27%$143 – $481
Tennessee TN54$246−29%$83 – $423
Wisconsin WI103$241−30%$150 – $469
Indiana IN67$239−31%$58 – $600
Oklahoma OK63$227−34%$62 – $446
Louisiana LA47$224−35%$92 – $469
Maryland MD12$212−39%$110 – $462
North Dakota ND26$192−45%$119 – $552
Iowa IA91$182−47%$83 – $517
Arkansas AR36$180−48%$77 – $501
South Dakota SD26$177−49%$114 – $499
Mississippi MS47$155−55%$76 – $274
Idaho ID23$151−56%$86 – $672
Nebraska NE78$128−63%$87 – $343
Kansas KS85$123−64%$75 – $267
Wyoming WY15$120−65%$95 – $276
Maine ME23$116−66%$65 – $413
Montana MT34$110−68%$55 – $190
Oregon OR54$105−70%$63 – $277
New Hampshire NH19$73−79%$42 – $303
Rhode Island RI8not 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 $346.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,994$411$172 – $840
Children’s54$603$225 – $1,385
Critical access863$151$75 – $435
Ownership
For-profit289$485$195 – $1,079
Government583$203$87 – $491
Non-profit2,039$357$128 – $723
System affiliation
Part of a system2,339$373$131 – $768
Independent580$203$82 – $492

Cash price vs list price

Median list price (chargemaster)$613
Median cash price$346
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

2,128 hospitals filed a usable inpatient cash price for this code. The median is $388 and the average of the middle 60% is $400; most fall between $136 and $767.

Cash price percentiles, inpatient, across 2,128 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
$78$175$388$651$1,046

The most expensive tenth of hospitals charges at least 13× what the cheapest tenth charges ($78 vs $1,046).

Of the 2,285 hospitals that filed this code inpatient, 2,128 gave a usable cash price; 55 carried a plausibility flag, 1 filed a number their own filing marks as not a price, 0 gave an estimate, and 101 a list price only.

How complete is this

2,919 of the 3,956 hospitals with a price file in our corpus (74%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 3,133 hospitals that filed this code at all gave us
Usable cash price — counted2,919
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) — excluded1
An estimate rather than a filed cash price — excluded7
A list price only, no cash figure — excluded113
Hospitals that filed this code3,133

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 September 4, 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 HC US Trigger Point Injection.

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, “Trigger point injection in one or two muscles (CPT 20552) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-20552-trigger-point-injection-in-one-or-two-muscles