Joint Injection — Major Joint
What should this cost?
Medicare Pays
$64
National benchmark
Typical Range
$200–$1000
What hospitals charge
Markup
9×
Above Medicare rate
What this code means on your bill
An injection into a major joint (knee, shoulder, hip), typically corticosteroid for pain and swelling.
Commonly billed for
Knee cortisone shot, shoulder injection, hip injection
What to watch for
Upcoding
If your visit seemed straightforward but you see a high-level code, the provider may have billed for a more complex service than what was performed. Compare the code level to the time you actually spent with the doctor.
Duplicate charges
Check if this code appears more than once on the same date of service. Unless you had the same procedure performed twice (rare), a duplicate is likely a billing error.
Price check
If you're being charged more than 1,200 for this service, it's significantly above the typical range. Request an itemized bill and compare against the Medicare rate of $64.
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