Maryland · 20600

Aspiration And/or Injection Of Fluid From Small Joint in Maryland

Maryland Medicare Avg
$39.28
14% above national avg
National Medicare Avg
$34.40
All states combined
Billed Charge (MD)
$175.83
What providers submit
Est. Commercial (MD)
$105.70
National avg: $104.14
Est. Cash / Self-Pay (MD)
$87.99
Typical self-pay discount

Estimated using RAND 2024 commercial-to-Medicare ratios. Actual prices vary by insurer, plan, and facility.

7.8K
Services in MD
808
Providers
N/A
Min Payment
N/A
Max Payment

Top Providers in Maryland

Provider Medicare Services
Bieber, Edward M.D. $41.34 284
Smith, Garth M.D. $42.92 226

Maryland Pricing in Context

In Maryland, CPT code 20600 (Aspiration And/or Injection Of Fluid From Small Joint) carries an average Medicare payment of $39.28 — 14% above the national benchmark of $34.40. 808 providers across the state submitted claims for this procedure in 2023, performing 7.8K total services. Individual payments in MD ranged from N/A at the low end to N/A at the high end, reflecting differences in provider setting (office vs. facility), modifiers, and the specific geographic locality code applied within the state.

The average billed charge in Maryland is $175.83, which is the figure uninsured patients would most likely encounter before any negotiation or charity discount. Medicare, by statute, only reimburses the allowed amount — the balance between billed and paid is written off under provider participation agreements. Insured patients generally pay a negotiated rate that falls between these two figures; the exact amount depends on plan design, deductible status, and in-network participation. Because Maryland sits above the national Medicare average, commercial rates in the state may also run higher than the US median.

Using RAND 2024 commercial-to-Medicare ratios for Musculoskeletal Surgery procedures, the estimated commercial insurance price in Maryland lands near $105.70, with self-pay cash prices typically around $87.99. Before scheduling, patients can request a Good Faith Estimate under the No Surprises Act, compare cash rates from hospital Machine-Readable Files, and confirm whether the provider is in-network with their specific plan. This page presents CMS reference data for informational use; it does not constitute medical or financial advice.

Frequently Asked Questions

How much does Aspiration And/or Injection Of Fluid From Small Joint cost in Maryland?

The average Medicare payment for Aspiration And/or Injection Of Fluid From Small Joint in Maryland is $39.28, which is 14% above the national average of $34.40. Providers in MD typically bill $175.83 for this procedure.

What does Aspiration And/or Injection Of Fluid From Small Joint cost with insurance in Maryland?

With commercial insurance in Maryland, Aspiration And/or Injection Of Fluid From Small Joint costs an estimated $105.70. Without insurance, the estimated cash price is $87.99. These estimates are based on RAND 2024 commercial-to-Medicare ratios and vary by insurer, plan, and facility.

How many providers perform Aspiration And/or Injection Of Fluid From Small Joint in Maryland?

808 providers in Maryland billed Medicare for Aspiration And/or Injection Of Fluid From Small Joint in 2023, performing 7.8K total services. Medicare payments ranged from N/A to N/A depending on the provider.

Is Aspiration And/or Injection Of Fluid From Small Joint cheaper in Maryland than the national average?

No — Aspiration And/or Injection Of Fluid From Small Joint costs 14% above the national average in Maryland. The state average Medicare payment is $39.28 compared to $34.40 nationally. Factors like local cost of living, provider competition, and regional Medicare fee schedules all influence state-level pricing.

Related

Data sourced from the CMS Medicare Physician and Other Practitioners dataset. See our methodology for details. Retrieved and formatted by PlainProcedure Editorial