Vermont

Cost of a Joint Injection Visit
in Vermont

Name: Joint Injection Cost in Vermont (2026)
Creator: Jayant Panwar
Published: 2026-03-18

Reviewed by Momentary Medical Group West PC

Vermont's rural healthcare landscape creates unique pricing dynamics for specialized treatments, with many residents traveling significant distances for care. Joint Injection patients typically pay between $48 and $152, with a median out-of-pocket cost of $75 based on negotiated insurance rates across the state's 339 active providers. Patients can browse all Joint Injection providers in Vermont to find the most cost-effective options near their location.

Average

$92

Median

$75

Lowest

$48

Highest

$152

Providers

339

National avg: $120Vermont: $92

24% below national average

Compare Similar Procedures

How does joint injection compare to related procedures in Vermont?

Procedure	CPT	Low	Median	High	Providers
Skin Biopsy Tangential biopsy of skin	11102	$73	$125	$249	338
Abscess Drainage (I&D) Incision and drainage of abscess, simple	10060	$95	$148	$290	340
Blood Draw (Venipuncture) Routine venipuncture for blood sample	36415	$2	$4	$73	362

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.

Full data methodology and glossary

Why Joint Injection Visit Costs Vary Across Vermont

Vermont's healthcare costs run approximately 15% above the national average, driven by the state's rural geography, limited provider competition, and higher operational costs for medical practices serving dispersed populations. The Green Mountain State's challenging winter weather and mountainous terrain can create access barriers that influence pricing and provider distribution patterns.

Urban vs. Rural Provider Availability

Burlington and the surrounding Chittenden County area concentrate most of Vermont's Joint Injection specialists, while rural areas like the Northeast Kingdom and southern Vermont face significant provider shortages. Patients in rural communities often travel 1-2 hours for specialist care, with some providers charging travel fees or offering limited mobile clinic services. This geographic disparity creates higher effective costs for rural patients when factoring in travel time and expenses.

Facility Type and Overhead Costs

Hospital-based outpatient clinics, particularly those affiliated with the University of Vermont Medical Center and Dartmouth-Hitchcock, typically charge higher facility fees compared to independent practices. Vermont's harsh winters and rural locations increase operational costs for medical facilities, from heating expenses to staff retention challenges. Independent practices may offer more competitive pricing but often have limited after-hours availability compared to hospital-based systems.

Insurance Market Competition in Vermont

Vermont's insurance market is dominated by just two major players - Blue Cross Blue Shield of Vermont and MVP Health Care - creating limited competition that can result in higher negotiated rates. The state's small population and regulatory environment make it challenging for new insurers to enter the market, reducing competitive pressure on pricing. This concentration gives the existing insurers significant negotiating power with providers, though rates still tend to be higher than in more competitive state markets.

Physician Supply and Demand in Vermont

With 339 active Joint Injection providers serving Vermont's population of roughly 645,000 residents, the state maintains reasonable specialist availability in urban areas but faces shortages in rural regions. This uneven distribution creates pricing pressures, with rural specialists often able to command higher rates due to limited competition and travel requirements. Wait times for appointments can extend several weeks in rural areas, potentially driving patients to seek care out-of-state or pay premium rates for expedited access.

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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 Vermont

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

Uninsured patients in Vermont can expect to pay between $48 and $152 for a Joint Injection visit, with a median cost of $75 based on negotiated insurance rates across 339 providers statewide. These costs reflect the actual amounts that insurers have agreed to pay Vermont providers, not inflated list prices. Many providers offer cash-pay discounts that can reduce these amounts by 20-40%, making the actual self-pay cost potentially lower than the median rate.

Does Vermont Medicaid cover Joint Injection visits?

Yes, Vermont Medicaid (Green Mountain Care) covers Joint Injection visits when medically necessary, thanks to the state's Medicaid expansion under the ACA. Coverage extends to adults earning up to 138% of the federal poverty level, providing access to specialist care for lower-income Vermonters. Prior authorization may be required for certain procedures, and patients should verify that their chosen provider accepts Vermont Medicaid before scheduling.

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

Compare costs across Vermont's 339 Joint Injection providers using transparency data, as prices can vary significantly even within the same city. Look for independent practices rather than hospital-based clinics, which often charge lower rates, and ask about self-pay discounts if you're uninsured. Community health centers in Burlington, Rutland, and other Vermont cities may offer sliding-scale payment options based on income.

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

Initial Joint Injection consultations typically involve more comprehensive evaluations and longer appointment times, generally costing more than follow-up visits. Follow-up appointments for established patients usually focus on monitoring progress and adjusting treatments, requiring less time and resources. The specific cost difference varies by provider and complexity of your condition, but follow-up visits can be 30-50% less expensive than initial consultations.

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

Yes, Joint Injection visits qualify as eligible medical expenses for both Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA). You can use these tax-advantaged funds to pay for consultation fees, copays, deductibles, and any recommended treatments or procedures. Keep detailed receipts for your records, as the IRS may require documentation for medical expense reimbursements from these accounts.

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

Telemedicine consultations for Joint Injection typically cost 20-30% less than in-person visits, though physical examinations and injection procedures still require office visits. Vermont's rural geography makes telehealth particularly valuable for follow-up appointments and medication management, reducing travel costs for patients in remote areas. Many Vermont providers offer hybrid care models, combining initial telemedicine consultations with in-person treatment visits to optimize both cost and convenience.

Click a state to compare costs

Average Visit Cost

$64

$246

Office visit (CPT 20610)

Compare With Other States

Rank	State	Average↓	Min⇅	Max⇅	Providers⇅
1	Wisconsin(WI) Range: $72 – $487	$246	$72	$487	6,840
2	Massachusetts(MA) Range: $55 – $538	$227	$55	$538	1,393
3	Minnesota(MN) Range: $57 – $487	$224	$57	$487	915
4	Rhode Island(RI) Range: $42 – $538	$223	$42	$538	89
5	Connecticut(CT) Range: $44 – $538	$222	$44	$538	508
6	Pennsylvania(PA) Range: $43 – $538	$220	$43	$538	1,653
7	Delaware(DE) Range: $41 – $538	$220	$41	$538	103
8	New York(NY) Range: $44 – $538	$220	$44	$538	31,170
9	Hawaii(HI) Range: $52 – $487	$208	$52	$487	94
10	North Dakota(ND) Range: $44 – $307	$144	$44	$307	63
11	Iowa(IA) Range: $61 – $256	$142	$61	$256	503
12	South Dakota(SD) Range: $48 – $268	$134	$48	$268	77
13	West Virginia(WV) Range: $42 – $264	$131	$42	$264	203
14	Michigan(MI) Range: $45 – $254	$127	$45	$254	2,562
15	New Hampshire(NH) Range: $65 – $185	$122	$65	$185	3,687
16	District of Columbia(DC) Range: $40 – $221	$116	$40	$221	364
17	Wyoming(WY) Range: $60 – $201	$116	$60	$201	188
18	Nebraska(NE) Range: $56 – $155	$114	$56	$155	2,212
19	Kentucky(KY) Range: $48 – $209	$114	$48	$209	492
20	Georgia(GA) Range: $45 – $211	$114	$45	$211	3,263
21	California(CA) Range: $64 – $185	$112	$64	$185	9,480
22	Idaho(ID) Range: $51 – $202	$111	$51	$202	226
23	Colorado(CO) Range: $45 – $208	$111	$45	$208	1,638
24	Indiana(IN) Range: $50 – $191	$110	$50	$191	740
25	Illinois(IL) Range: $50 – $191	$108	$50	$191	7,374
26	Maine(ME) Range: $75 – $128	$105	$75	$128	1,553
27	Oregon(OR) Range: $58 – $167	$103	$58	$167	516
28	New Jersey(NJ) Range: $34 – $205	$101	$34	$205	6,622
29	Washington(WA) Range: $62 – $152	$98	$62	$152	4,606
30	North Carolina(NC) Range: $45 – $158	$95	$45	$158	2,572
31	New Mexico(NM) Range: $51 – $141	$93	$51	$141	1,288
32	Vermont(VT) Range: $48 – $152	$92	$48	$152	339
33	Utah(UT) Range: $37 – $142	$90	$37	$142	440
34	Maryland(MD) Range: $39 – $167	$89	$39	$167	4,102
35	Oklahoma(OK) Range: $38 – $136	$87	$38	$136	2,127
36	South Carolina(SC) Range: $42 – $131	$83	$42	$131	1,436
37	Texas(TX) Range: $45 – $119	$83	$45	$119	12,243
38	Mississippi(MS) Range: $38 – $151	$82	$38	$151	1,318
39	Montana(MT) Range: $70 – $95	$82	$70	$95	320
40	Alaska(AK) Range: $80 – $85	$82	$80	$85	375
41	Arkansas(AR) Range: $47 – $116	$82	$47	$116	149
42	Virginia(VA) Range: $35 – $138	$80	$35	$138	3,387
43	Nevada(NV) Range: $35 – $140	$79	$35	$140	2,758
44	Missouri(MO) Range: $43 – $101	$77	$43	$101	5,522
45	Louisiana(LA) Range: $38 – $115	$75	$38	$115	953
46	Ohio(OH) Range: $38 – $106	$75	$38	$106	5,495
47	Alabama(AL) Range: $38 – $117	$74	$38	$117	2,687
48	Tennessee(TN) Range: $42 – $111	$74	$42	$111	2,682
49	Kansas(KS) Range: $43 – $100	$70	$43	$100	1,816
50	Florida(FL) Range: $35 – $109	$66	$35	$109	5,511
51	Arizona(AZ) Range: $38 – $102	$64	$38	$102	5,207