Ultrasound-guided joint or bursa drainage or injection at Northside Hospital, Inc.

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

DRAIN/INJ SM JOINT/BURSA W/US

Duluth, GA

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How this price compares nationally

Northside Hospital, Inc.’s median price of $2.2k is 430% above the median hospital's median price ($421), higher than 94% of the 2,119 hospitals reporting CPT 20604. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 20604 at Northside Hospital, Inc.

Negotiated rates from the hospital’s own file: 14 payers, 74 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.

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1	Caresource caresource marketplace percent of total billed charges · inpatientfrom % of charges	$404	$404	—	—	—	$404 – $404
2	Blue Cross Blue Shield bcbs prudt buyer percent of total billed charges · inpatientfrom % of charges	$758	$758	—	—	—	$758 – $758
3	MultiPlan multiplan ppo percent of total billed charges · inpatientfrom % of charges	$924	$924	—	—	—	$924 – $924
4	MultiPlan multiplan ppo percent of total billed charges · outpatientfrom % of charges	$924	$924	—	—	—	$924 – $924
5	MultiPlan multiplan workers comp percent of total billed charges · inpatientfrom % of charges	$924	$924	—	—	—	$924 – $924
6	MultiPlan multiplan workers comp percent of total billed charges · outpatientfrom % of charges	$924	$924	—	—	—	$924 – $924
7	Blue Cross Blue Shield bcbs_pathway case rate · outpatient	$1.7k	$1.7k	—	—	—	$1.7k – $1.7k
8	Blue Cross Blue Shield bcbs_pathway-l case rate · outpatient	$1.7k	$1.7k	—	—	—	$1.7k – $1.7k
9	UnitedHealthcare uhc ga individual exchange case rate · outpatient	$1.8k	$1.8k	—	—	—	$1.8k – $1.8k
10	UnitedHealthcare uhc heritage select case rate · outpatient	$2.0k	$2.0k	—	—	—	$2.0k – $2.0k
11	Blue Cross Blue Shield bcbs medicare advantage-p fee schedule · outpatient	$2.0k	$2.0k	$1.7k	85%	—	$303 – $3.8k
12	Medicare medicare fee schedule · outpatient	$2.0k	$2.0k	$1.7k	85%	—	$303 – $3.8k
13	UnitedHealthcare uhc medicare fee schedule · outpatient	$2.0k	$2.0k	$1.7k	85%	—	$303 – $3.8k
14	Aetna aetna medicare fee schedule · outpatient	$2.1k	$2.1k	$1.8k	85%	—	$306 – $3.8k
15	Humana humana medicare advantage hmo fee schedule · outpatient	$2.1k	$2.1k	$1.8k	85%	—	$306 – $3.8k
16	Kaiser kaiser medicare advantage fee schedule · outpatient	$2.1k	$2.1k	$1.8k	85%	—	$312 – $3.9k
17	WellCare wellcare medicare advantage fee schedule · outpatient	$2.1k	$2.1k	$1.8k	85%	—	$312 – $3.9k
18	Humana humana medicare advantage ppo fee schedule · outpatient	$2.1k	$2.1k	$1.8k	85%	—	$315 – $3.9k
19	Kaiser kaiser_sf case rate · outpatient	$2.2k	$2.2k	—	—	—	$2.2k – $2.2k
20	Kaiser kaiser_sf-aga case rate · outpatient	$2.2k	$2.2k	—	—	—	$2.2k – $2.2k
21	Kaiser kaiser_sf-bariatric case rate · outpatient	$2.2k	$2.2k	—	—	—	$2.2k – $2.2k
22	Kaiser kaiser_sf-gcs case rate · outpatient	$2.2k	$2.2k	—	—	—	$2.2k – $2.2k
23	Kaiser kaiser_sf-gpg/noas case rate · outpatient	$2.2k	$2.2k	—	—	—	$2.2k – $2.2k
24	Kaiser kaiser_sf-gynonc case rate · outpatient	$2.2k	$2.2k	—	—	—	$2.2k – $2.2k
25	Kaiser kaiser_sf-melanoma case rate · outpatient	$2.2k	$2.2k	—	—	—	$2.2k – $2.2k

Page 1 of 3 · 74 rates

Last updated: Feb 14, 2026

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