Cost of a Joint Injection Visit
in Hawaii
Reviewed by Momentary Medical Group West PC
Hawaii's isolated island geography creates unique healthcare delivery challenges, with medical supplies and specialist services often costing 16% above national averages due to shipping and limited competition. Patients seeking Joint Injection services typically pay between $52 and $487, with a median out-of-pocket cost of $85 based on negotiated insurance rates across 94 active providers statewide. Hawaii maintains a strong network of Joint Injection specialists across Oahu, Maui, and the Big Island, allowing patients to browse all providers throughout the Hawaiian islands.
Average
$208
Median
$85
Lowest
$52
Highest
$487
Providers
94
74% above national average
Compare Similar Procedures
How does joint injection compare to related procedures in Hawaii?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Skin Biopsy Tangential biopsy of skin | 11102 | $37 | $85 | $200 | 84 |
| Abscess Drainage (I&D) Incision and drainage of abscess, simple | 10060 | $80 | $110 | $308 | 98 |
| Blood Draw (Venipuncture) Routine venipuncture for blood sample | 36415 | $3 | $3 | $85 | 191 |
Important: These are cost estimates only — not a quote and not medical advice.
The prices on this page are self-pay rates, drawn from federal Transparency in Coverage machine-readable files (CPT 20610 — Arthrocentesis, aspiration and/or injection, major joint). They represent what a patient might pay without insurance.
Your actual cost depends on: your specific insurance plan, your remaining deductible, your coinsurance percentage, whether you have met your out-of-pocket maximum, whether the facility and provider are both in-network, and any separate anesthesia or implant fees billed independently.
This page does not constitute medical advice. Whether you need this procedure, and which approach is right for you, is a decision to make with a licensed healthcare provider.
Where this data comes from & what CPT 20610 covers
Data source: Cost figures are derived from UnitedHealthcare Transparency in Coverage machine-readable files for CPT code 20610 (Arthrocentesis, aspiration and/or injection, major joint), as mandated by the CMS Price Transparency Rule.
What CPT 20610 covers: the provider's professional fee for joint injection. It does not include facility/hospital fees, anesthesia, pre-operative imaging, post-operative care, or any add-on codes billed separately.
How to read this data
Negotiated Rate
The discounted price an insurer has agreed to pay a specific provider. Most insured patients' bills are calculated from this number, not the higher list price hospitals publish separately.
P5, Median, P95
P5 is the rate at the 5th percentile (low end), Median is the middle value, and P95 is the 95th percentile (high end). This range shows how much the same visit can vary between providers.
What this does not tell you
These rates do not tell you what you personally will pay out of pocket. That depends on your specific plan, how much of your deductible you have already met, your coinsurance rate, and whether the provider is in your network. Call your insurer's member line to get your exact estimate.
Why Joint Injection Visit Costs Vary Across Hawaii
Hawaii's healthcare costs run approximately 16% above national averages due to its isolated island location requiring expensive medical supply shipping and limited provider competition. The state's unique geography concentrates specialists in urban Honolulu while leaving neighbor islands with sparse coverage, creating significant cost and access disparities.
Urban vs. Rural Provider Availability
Oahu houses the majority of Hawaii's Joint Injection specialists, while Maui, Kona, and Hilo maintain limited provider networks requiring inter-island travel for specialized care. This geographic concentration drives higher costs on neighbor islands where limited competition allows providers to charge premium rates. Rural areas often rely on visiting specialists or telemedicine consultations, adding logistical complexity to care coordination.
Facility Type and Overhead Costs
Hospital-based clinics affiliated with major systems like Kaiser Permanente or Hawaii Pacific Health carry significantly higher overhead costs than independent practices. These facility fees reflect Hawaii's expensive real estate market and imported medical equipment costs, often doubling patient bills compared to community clinics. Independent practices may offer more competitive pricing but fewer ancillary services like on-site imaging or laboratory work.
Insurance Market Competition in Hawaii
HMSA dominates Hawaii's insurance landscape alongside UnitedHealthcare and Kaiser Permanente, creating limited competition that can result in higher negotiated rates. This concentrated market gives insurers significant leverage over provider contracts but may limit patient choice compared to mainland markets. The small provider network means insurers have fewer alternatives when negotiating rates, potentially keeping costs elevated.
Physician Supply and Demand in Hawaii
With 94 active Joint Injection providers serving Hawaii's 1.4 million residents, the state maintains adequate specialist coverage in urban areas but faces shortages on neighbor islands. This supply imbalance creates longer wait times and higher costs outside Honolulu, where providers can command premium pricing due to limited alternatives. Many specialists concentrate their practices on Oahu, requiring neighbor island residents to travel or pay premium rates for local care.
Jayant Panwar
CEO, Momentary Labs · San Francisco, CA
Jayant has analyzed healthcare pricing data from CMS Transparency in Coverage files since 2022, covering more than 50 million negotiated rate records across all 50 states. His work focuses on making insurer machine-readable files accessible to patients and researchers.
The cost figures on this page reflect his ongoing work to make this data accessible to patients.
Frequently Asked Questions — Joint Injection Costs in Hawaii
What is the average cost of a Joint Injection visit in Hawaii without insurance?
Does Hawaii Medicaid cover Joint Injection visits?
How do I find an affordable Joint Injection near me in Hawaii?
What is the difference in cost between an initial consultation and a follow-up visit?
Can I use an HSA or FSA to pay for a Joint Injection visit in Hawaii?
How does telemedicine affect the cost of seeing a Joint Injection in Hawaii?
Click a state to compare costs
Average Visit Cost
Office visit (CPT 20610)
Compare With Other States
| Rank | State | Average↓ |
|---|---|---|
| 1 | Wisconsin Range: $72 – $487 | $246 |
| 2 | Massachusetts Range: $55 – $538 | $227 |
| 3 | Minnesota Range: $57 – $487 | $224 |
| 4 | Rhode Island Range: $42 – $538 | $223 |
| 5 | Connecticut Range: $44 – $538 | $222 |
| 6 | Pennsylvania Range: $43 – $538 | $220 |
| 7 | Delaware Range: $41 – $538 | $220 |
| 8 | New York Range: $44 – $538 | $220 |
| 9 | Hawaii Range: $52 – $487 | $208 |
| 10 | North Dakota Range: $44 – $307 | $144 |
| 11 | Iowa Range: $61 – $256 | $142 |
| 12 | South Dakota Range: $48 – $268 | $134 |
| 13 | West Virginia Range: $42 – $264 | $131 |
| 14 | Michigan Range: $45 – $254 | $127 |
| 15 | New Hampshire Range: $65 – $185 | $122 |
| 16 | District of Columbia Range: $40 – $221 | $116 |
| 17 | Wyoming Range: $60 – $201 | $116 |
| 18 | Nebraska Range: $56 – $155 | $114 |
| 19 | Kentucky Range: $48 – $209 | $114 |
| 20 | Georgia Range: $45 – $211 | $114 |
| 21 | California Range: $64 – $185 | $112 |
| 22 | Idaho Range: $51 – $202 | $111 |
| 23 | Colorado Range: $45 – $208 | $111 |
| 24 | Indiana Range: $50 – $191 | $110 |
| 25 | Illinois Range: $50 – $191 | $108 |
| 26 | Maine Range: $75 – $128 | $105 |
| 27 | Oregon Range: $58 – $167 | $103 |
| 28 | New Jersey Range: $34 – $205 | $101 |
| 29 | Washington Range: $62 – $152 | $98 |
| 30 | North Carolina Range: $45 – $158 | $95 |
| 31 | New Mexico Range: $51 – $141 | $93 |
| 32 | Vermont Range: $48 – $152 | $92 |
| 33 | Utah Range: $37 – $142 | $90 |
| 34 | Maryland Range: $39 – $167 | $89 |
| 35 | Oklahoma Range: $38 – $136 | $87 |
| 36 | South Carolina Range: $42 – $131 | $83 |
| 37 | Texas Range: $45 – $119 | $83 |
| 38 | Mississippi Range: $38 – $151 | $82 |
| 39 | Montana Range: $70 – $95 | $82 |
| 40 | Alaska Range: $80 – $85 | $82 |
| 41 | Arkansas Range: $47 – $116 | $82 |
| 42 | Virginia Range: $35 – $138 | $80 |
| 43 | Nevada Range: $35 – $140 | $79 |
| 44 | Missouri Range: $43 – $101 | $77 |
| 45 | Louisiana Range: $38 – $115 | $75 |
| 46 | Ohio Range: $38 – $106 | $75 |
| 47 | Alabama Range: $38 – $117 | $74 |
| 48 | Tennessee Range: $42 – $111 | $74 |
| 49 | Kansas Range: $43 – $100 | $70 |
| 50 | Florida Range: $35 – $109 | $66 |
| 51 | Arizona Range: $38 – $102 | $64 |