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Rhode Island

Cost of a Joint Injection Visit
in Rhode Island

Reviewed by Momentary Medical Group West PC

Rhode Island's compact healthcare market, dominated by three major insurers serving the nation's smallest state, creates unique pricing dynamics for specialty care. Joint Injection visit costs typically range from $42 to $538, with a median out-of-pocket cost of $88 across 89 active providers throughout the Ocean State. Patients can browse all Joint Injection providers in Rhode Island to compare costs and find in-network options near them.

Average

$223

Median

$88

Lowest

$42

Highest

$538

Providers

89

National avg: $120Rhode Island: $223

86% above national average

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How does joint injection compare to related procedures in Rhode Island?

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Skin Biopsy

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11102$35$139$38765
Abscess Drainage (I&D)

Incision and drainage of abscess, simple

10060$80$167$46488
Blood Draw (Venipuncture)

Routine venipuncture for blood sample

36415$2$4$90107

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 20610Arthrocentesis, 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 Rhode Island

Rhode Island's healthcare costs run approximately 13% above the national average, reflecting the state's concentrated market and higher regional wages. The Ocean State's small geographic footprint creates unique dynamics where patients can easily travel between providers, yet academic medical centers still command premium pricing.

Urban vs. Rural Provider Availability

Most of Rhode Island's Joint Injection specialists cluster around Providence and the Warwick metro area, with fewer options in South County and rural western regions. This concentration means patients in communities like Westerly or Block Island may face longer travel times but can access competitive pricing. The state's small size makes most specialists accessible within a 45-minute drive from anywhere in Rhode Island.

Facility Type and Overhead Costs

Hospital-based outpatient clinics affiliated with Lifespan, Care New England, or Brown University charge significantly higher facility fees than independent practices throughout Rhode Island. Academic medical centers command premium rates due to their research missions and teaching responsibilities, while community-based practices often offer more affordable care. Many specialists maintain privileges at multiple facilities, giving patients cost-saving options even with the same doctor.

Insurance Market Competition in Rhode Island

Blue Cross Blue Shield of Rhode Island, UnitedHealthcare, and Tufts Health Plan dominate the state's insurance landscape, creating moderate competition that affects negotiated rates with Joint Injection providers. This three-player market means most providers accept all major plans, giving patients good network access. The relatively small insurer pool creates consistent pricing patterns across the state, with less variation than larger states experience.

Physician Supply and Demand in Rhode Island

With 89 active Joint Injection providers serving just over one million residents, Rhode Island maintains adequate specialist availability relative to its population size. This healthy supply-to-demand ratio helps control costs and reduces wait times compared to states facing physician shortages. The presence of Brown University's medical programs helps attract and retain specialists, supporting competitive pricing throughout the Ocean State.

JP

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.

Healthcare Data AnalyticsCMS TiC DataInsurance Price Transparency

Frequently Asked Questions — Joint Injection Costs in Rhode Island

What is the average cost of a Joint Injection visit in Rhode Island without insurance?

Uninsured patients in Rhode Island typically pay between $42 and $538 for a Joint Injection visit, with a median cost of $88. These prices reflect negotiated insurance rates and may be higher for self-pay patients, though many providers offer cash discounts. Academic medical centers and hospital-based clinics typically charge toward the higher end of this range, while independent practices often cost less.

Does Rhode Island Medicaid cover Joint Injection visits?

Yes, Rhode Island expanded Medicaid covers Joint Injection visits for eligible adults earning up to 138% of the federal poverty level. Coverage includes both the consultation and medically necessary injection procedures, though prior authorization may be required for certain treatments. You'll need to see a Medicaid-participating specialist, and many accept Rhode Island's Medicaid program.

How do I find an affordable Joint Injection near me in Rhode Island?

Compare costs across Rhode Island's 89 Joint Injection providers, focusing on independent practices rather than hospital-based clinics for potential savings. Ask about self-pay discounts, payment plans, or sliding fee scales if you're uninsured or have a high deductible. Community health centers throughout Rhode Island often provide specialty care at reduced rates based on income.

What is the difference in cost between an initial consultation and a follow-up visit?

Initial Joint Injection consultations typically cost more than follow-up visits due to comprehensive evaluations and treatment planning. New patient visits involve detailed medical histories and diagnostic assessments, while established patient visits focus on treatment progress and adjustments. The cost difference can be $50-100 or more, depending on the complexity of your condition and the provider's fee structure.

Can I use an HSA or FSA to pay for a Joint Injection visit in Rhode Island?

Yes, Joint Injection visits qualify as medical expenses eligible for HSA or FSA reimbursement in Rhode Island. Both the consultation fee and any injection procedures are considered qualified medical expenses under IRS guidelines. Keep all receipts and documentation for reimbursement, including any related diagnostic tests or follow-up treatments your specialist recommends.

How does telemedicine affect the cost of seeing a Joint Injection in Rhode Island?

Telemedicine consultations for Joint Injection typically cost 20-30% less than in-person visits, though physical procedures still require office visits. Rhode Island expanded telehealth coverage during the pandemic, and many insurers now cover virtual specialist consultations. While initial assessments can be done remotely, actual joint injections must be performed in person at the provider's facility.

Click a state to compare costs

Average Visit Cost

$64
$246

Office visit (CPT 20610)

Compare With Other States

RankStateAverage
1Wisconsin
Range: $72$487
$246
2Massachusetts
Range: $55$538
$227
3Minnesota
Range: $57$487
$224
4Rhode Island
Range: $42$538
$223
5Connecticut
Range: $44$538
$222
6Pennsylvania
Range: $43$538
$220
7Delaware
Range: $41$538
$220
8New York
Range: $44$538
$220
9Hawaii
Range: $52$487
$208
10North Dakota
Range: $44$307
$144
11Iowa
Range: $61$256
$142
12South Dakota
Range: $48$268
$134
13West Virginia
Range: $42$264
$131
14Michigan
Range: $45$254
$127
15New Hampshire
Range: $65$185
$122
16District of Columbia
Range: $40$221
$116
17Wyoming
Range: $60$201
$116
18Nebraska
Range: $56$155
$114
19Kentucky
Range: $48$209
$114
20Georgia
Range: $45$211
$114
21California
Range: $64$185
$112
22Idaho
Range: $51$202
$111
23Colorado
Range: $45$208
$111
24Indiana
Range: $50$191
$110
25Illinois
Range: $50$191
$108
26Maine
Range: $75$128
$105
27Oregon
Range: $58$167
$103
28New Jersey
Range: $34$205
$101
29Washington
Range: $62$152
$98
30North Carolina
Range: $45$158
$95
31New Mexico
Range: $51$141
$93
32Vermont
Range: $48$152
$92
33Utah
Range: $37$142
$90
34Maryland
Range: $39$167
$89
35Oklahoma
Range: $38$136
$87
36South Carolina
Range: $42$131
$83
37Texas
Range: $45$119
$83
38Mississippi
Range: $38$151
$82
39Montana
Range: $70$95
$82
40Alaska
Range: $80$85
$82
41Arkansas
Range: $47$116
$82
42Virginia
Range: $35$138
$80
43Nevada
Range: $35$140
$79
44Missouri
Range: $43$101
$77
45Louisiana
Range: $38$115
$75
46Ohio
Range: $38$106
$75
47Alabama
Range: $38$117
$74
48Tennessee
Range: $42$111
$74
49Kansas
Range: $43$100
$70
50Florida
Range: $35$109
$66
51Arizona
Range: $38$102
$64
Joint Injection in Other States