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

Trigger point injection in three or more muscles

CPT 20553the billing code this page is about

Injection of medication into tender knots in muscle; this code covers the session when three or more muscles are treated.

Hospitals typically charge $384 cash for this outpatient procedure — the median across 2,526 hospitals that filed a usable cash price; the average of the middle 60% is $408. Most fall between $145 and $794 (20th–80th percentile).

Hospitals
2,526
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 2,526 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
$87$174$384$684$1,120

The most expensive tenth of hospitals charges at least 13× what the cheapest tenth charges ($87 vs $1,120).

How the prices are spread

$60 – $82: 105 hospitals$60$82 – $114: 173 hospitals$114 – $157: 154 hospitals$114$157 – $217: 197 hospitals$217 – $299: 270 hospitals$217$299 – $414: 314 hospitals$414 – $572: 343 hospitals$414$572 – $790: 333 hospitals$790 – $1,091: 199 hospitals$790$1,091 – $1,507: 189 hospitals$1,091median $384price bands are equal on a log scale
Hospitals per price band (2,277 of 2,526 — the bands cover the 5th to 95th percentile)
FromToHospitals
$60$82105
$82$114173
$114$157154
$157$217197
$217$299270
$299$414314
$414$572343
$572$790333
$790$1,091199
$1,091$1,507189

Against Medicare

Medicare pays (OPPS 2026, national rate)$314
Median cash price$384
Cash as a multiple of Medicare1.23×

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 $384.

Alaska: median $383 across 14 hospitalsAK$383Maine: median $149 across 22 hospitalsME$149Vermont: median $161 across 13 hospitalsVT$161New Hampshire: median $83 across 15 hospitalsNH$83Washington: median $276 across 74 hospitalsWA$276Idaho: median $185 across 22 hospitalsID$185Montana: median $160 across 28 hospitalsMT$160North Dakota: median $194 across 20 hospitalsND$194Minnesota: median $286 across 80 hospitalsMN$286Illinois: median $357 across 103 hospitalsIL$357Wisconsin: median $284 across 91 hospitalsWI$284Michigan: median $398 across 78 hospitalsMI$398New York: median $427 across 103 hospitalsNY$427Massachusetts: median $502 across 48 hospitalsMA$502Oregon: median $119 across 51 hospitalsOR$119Nevada: median $322 across 15 hospitalsNV$322Wyoming: median $209 across 15 hospitalsWY$209South Dakota: median $196 across 19 hospitalsSD$196Iowa: median $260 across 84 hospitalsIA$260Indiana: median $317 across 53 hospitalsIN$317Ohio: median $631 across 128 hospitalsOH$631Pennsylvania: median $394 across 112 hospitalsPA$394New Jersey: median $394 across 51 hospitalsNJ$394Connecticut: median $545 across 18 hospitalsCT$545Rhode Island: 8 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $718 across 150 hospitalsCA$718Utah: median $507 across 30 hospitalsUT$507Colorado: median $341 across 62 hospitalsCO$341Nebraska: median $183 across 65 hospitalsNE$183Missouri: median $363 across 67 hospitalsMO$363Kentucky: median $572 across 38 hospitalsKY$572West Virginia: median $340 across 35 hospitalsWV$340Virginia: median $378 across 53 hospitalsVA$378Maryland: median $339 across 10 hospitalsMD$339Delaware: 3 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $377 across 33 hospitalsAZ$377New Mexico: median $231 across 23 hospitalsNM$231Kansas: median $172 across 79 hospitalsKS$172Arkansas: median $190 across 21 hospitalsAR$190Tennessee: median $235 across 41 hospitalsTN$235North Carolina: median $404 across 63 hospitalsNC$404South Carolina: median $598 across 39 hospitalsSC$598Oklahoma: median $203 across 51 hospitalsOK$203Louisiana: median $176 across 33 hospitalsLA$176Mississippi: median $188 across 45 hospitalsMS$188Alabama: median $389 across 28 hospitalsAL$389Georgia: median $1,239 across 60 hospitalsGA$1,239Hawaii: median $811 across 15 hospitalsHI$811Texas: median $666 across 138 hospitalsTX$666Florida: median $725 across 79 hospitalsFL$725
Cash price by state, most expensive first. National median $384. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Georgia GA60$1,239+222%$287 – $1,529
Hawaii HI15$811+111%$66 – $1,102
Florida FL79$725+89%$365 – $1,110
California CA150$718+87%$413 – $1,412
Texas TX138$666+73%$297 – $703
Ohio OH128$631+64%$272 – $883
South Carolina SC39$598+56%$429 – $1,099
Kentucky KY38$572+49%$162 – $1,223
Connecticut CT18$545+42%$225 – $957
Utah UT30$507+32%$402 – $596
Massachusetts MA48$502+31%$222 – $702
New York NY103$427+11%$146 – $961
North Carolina NC63$404+5%$280 – $794
Michigan MI78$398+4%$163 – $870
Pennsylvania PA112$394+3%$229 – $725
New Jersey NJ51$394+3%$327 – $3,986
Alabama AL28$389+1%$191 – $813
Alaska AK14$3830%$278 – $564
Virginia VA53$378−2%$227 – $460
Arizona AZ33$377−2%$154 – $860
Missouri MO67$363−6%$111 – $855
Illinois IL103$357−7%$179 – $819
Colorado CO62$341−11%$141 – $748
West Virginia WV35$340−12%$151 – $567
Maryland MD10$339−12%$165 – $577
Nevada NV15$322−16%$112 – $390
Indiana IN53$317−17%$123 – $558
Minnesota MN80$286−26%$105 – $450
Wisconsin WI91$284−26%$173 – $656
Washington WA74$276−28%$103 – $546
Iowa IA84$260−32%$132 – $606
Tennessee TN41$235−39%$165 – $423
New Mexico NM23$231−40%$92 – $595
Wyoming WY15$209−46%$119 – $449
Oklahoma OK51$203−47%$69 – $400
South Dakota SD19$196−49%$179 – $311
North Dakota ND20$194−50%$74 – $436
Arkansas AR21$190−50%$124 – $632
Mississippi MS45$188−51%$108 – $280
Idaho ID22$185−52%$97 – $672
Nebraska NE65$183−52%$111 – $542
Louisiana LA33$176−54%$100 – $545
Kansas KS79$172−55%$100 – $403
Vermont VT13$161−58%$99 – $668
Montana MT28$160−58%$65 – $265
Maine ME22$149−61%$79 – $413
Oregon OR51$119−69%$69 – $257
New Hampshire NH15$83−79%$47 – $224
Rhode Island RI8not enough hospitals filed a usable price
Delaware DE3not 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 $384.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,742$454$214 – $886
Children’s48$628$240 – $1,282
Critical access728$194$94 – $481
Ownership
For-profit234$501$227 – $1,076
Government512$254$103 – $573
Non-profit1,772$404$164 – $825
System affiliation
Part of a system2,019$425$172 – $855
Independent507$232$99 – $564

Cash price vs list price

Median list price (chargemaster)$685
Median cash price$384
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

1,801 hospitals filed a usable inpatient cash price for this code. The median is $454 and the average of the middle 60% is $470; most fall between $176 and $849.

Cash price percentiles, inpatient, across 1,801 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
$101$226$454$748$1,120

The most expensive tenth of hospitals charges at least 11× what the cheapest tenth charges ($101 vs $1,120).

Of the 1,931 hospitals that filed this code inpatient, 1,801 gave a usable cash price; 50 carried a plausibility flag, 1 filed a number their own filing marks as not a price, 0 gave an estimate, and 79 a list price only.

How complete is this

2,526 of the 3,956 hospitals with a price file in our corpus (64%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 2,704 hospitals that filed this code at all gave us
Usable cash price — counted2,526
Cash price carrying a plausibility flag — shown on the compare tool, excluded here85
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded1
A list price only, no cash figure — excluded91
Hospitals that filed this code2,704

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 Injection Single/Mlt Trigger Point 3/> Muscles.

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 three or more muscles (CPT 20553) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-20553-trigger-point-injection-in-three-or-more-muscles