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Reviewed by John Caruso, FSA, MAAA • Data last updated

Cortisone Shot Cost in Texas (2026): Average Prices & What You'll Pay

What does a cortisone shot cost in Texas?

You could pay $81 or $471 for the same cortisone shot in Texas - depending entirely on which facility you choose. The median cash price across 408 reporting hospitals is $212. This data comes directly from hospital price transparency files published under federal law. The sections below break this down by coverage and by insurer.

Once you have a bill or an appointment on the calendar, CostKits can help you keep it all organized.

Where cortisone shot costs vary in Texas

Pins show hospitals with price-transparency data (colored by vs. state average) and nearby ambulatory surgery centers and other facilities (colored by type). Click any pin for facility name and estimated cost range.

Hospital (below avg) Hospital (above avg) Click a pin for details.

26+ people checked prices near them this month.

What you pay for a cortisone shot depends on where you go and what is billed separately. Most patients find out after.

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Cheapest Cortisone Shot Providers in Texas

Based on declared cash/self-pay prices from CMS hospital price transparency files.

# Facility City Price vs median ($212)
1 Quitman Hospital, LLC Quitman, TX $53 $159 below
2 Austin Center for Outpatient Surgery LP, DBA Northwest Hills Surgical Hospital TX $53 $159 below
3 USMD Hospital at Arlington LLC Arlington, TX $53 $159 below
4 Adventhealth Central Texas Killeen, TX $53 $159 below
5 Adventhealth Rollins Brook Lampasas, TX $53 $159 below
6 Midland County Hospital District Midland, TX $53 $159 below
7 University Medical Center Lubbock, TX $53 $159 below
8 Texas Health Harris Methodist Hospital Southwest Fort Worth Fort Worth, TX $53 $159 below

Prices are declared self-pay rates. Contact each facility for a formal quote before scheduling.

Before you book: three questions that change the price

  1. Is this the self-pay price, and does it include the doctor, anesthesia and any lab or pathology? Those are often billed separately.
  2. Can you give me the price in writing, with the billing codes it covers?
  3. What happens to the price if something extra is needed during the procedure?

Estimate your out-of-pocket cost →  ·  When the bills arrive, we check them for errors →

Quick take

  • Quitman Hospital, LLC is the lowest-cost option at $53 - $159 below the median posted price ($212), just by choosing where you go.
  • Ask for the cash price if your deductible isn't met - the median cash price here is $222, and it's often lower than what insurance pays before your deductible is satisfied.
  • Ask whether this procedure can be done at a freestanding ambulatory surgical center - they're typically 30-60% cheaper than a hospital for identical care, and most aren't in this hospital-only dataset.
Cortisone shot prices by coverage in Texas, October 2026
CoverageHospitals with a rateTypical rangeMedian
Medicare (national rate)—$314 to $517$314
With insurance (commercial, average)355$70 to $1,138$464
Without insurance (cash price)439$53 to $1,020$222
Blue Cross and Blue Shield of Texas294$29 to $337$84
Aetna279$49 to $1,564$447
Cigna245$81 to $2,052$407
UnitedHealthcare186$72 to $1,524$457

Rates are negotiated allowed amounts and cash prices from hospital price-transparency files (October 2026), shown at each hospital’s lowest-priced typical billing code for this procedure. Facility fees only. The typical range is the middle 80% of hospitals, not a quote for your visit.

How much does a cortisone shot cost with Medicare in Texas?

Medicare's national hospital outpatient payment for cortisone shot is about $314 to $517 (typically near $314). After the $257 Part B deductible, you generally pay 20% of the Medicare-approved amount, about $63 on a $314 payment, with no out-of-pocket cap unless you have supplemental coverage or a Medicare Advantage plan.

Doctor, anesthesia and pathology fees are billed separately. Medicare rates are national CMS amounts, adjusted slightly by local wage levels.

How much does a cortisone shot cost with insurance in Texas?

Across 355 Texas hospitals, the negotiated rates commercial insurers pay for cortisone shot average $70 to $1,138 per hospital, with a median near $464. That is the amount your plan and you pay the hospital together; you owe your deductible, then coinsurance, up to your out-of-pocket maximum.

Each hospital’s figure is the average of the commercial insurers it lists. Medicare, Medicare Advantage and Medicaid rates are excluded.

How much does a cortisone shot cost without insurance in Texas?

Cash (self-pay) prices for cortisone shot at 439 Texas hospitals range from $53 to $1,020, with a median of $222. Ask for the cash or self-pay price and for any financial-assistance discount before you book; both can be lower than the posted price.

Cash prices are the hospital’s published discounted rate for patients paying without insurance.

How much does a cortisone shot cost with Blue Cross and Blue Shield of Texas?

Blue Cross and Blue Shield of Texas negotiated rates for cortisone shot at 294 Texas hospitals range from $29 to $337, with a median near $84. Your own cost depends on your plan’s deductible and coinsurance, and on whether the hospital is in your network.

Includes Blue Cross and Blue Shield and Anthem plans listed by each hospital.

How much does a cortisone shot cost with Aetna in Texas?

Aetna negotiated rates for cortisone shot at 279 Texas hospitals range from $49 to $1,564, with a median near $447. If a hospital is out of network for your Aetna plan, you may owe more than the negotiated rate, so check the network first.

How much does a cortisone shot cost with Cigna in Texas?

Cigna negotiated rates for cortisone shot at 245 Texas hospitals range from $81 to $2,052, with a median near $407. If a hospital is out of network for your Cigna plan, you may owe more than the negotiated rate, so check the network first.

How much does a cortisone shot cost with UnitedHealthcare in Texas?

UnitedHealthcare negotiated rates for cortisone shot at 186 Texas hospitals range from $72 to $1,524, with a median near $457. If a hospital is out of network for your UnitedHealthcare plan, you may owe more than the negotiated rate, so check the network first.

How where you go changes what you pay for cortisone shot

The same cortisone shot bundles different services depending on the setting - facility fee, surgeon fee, and anesthesia each arrive as separate bills. Estimated ranges below reflect the typical full bundled cost, including all expected charges.

Hospital Outpatient
$76–$4,141
  • Facility fee $23–$3,913
  • Professional fee $53–$228

Estimated from CMS fee schedules + commercial rate multipliers

Hospital Inpatient
$76–$2,483
  • Facility fee $23–$2,255
  • Professional fee $53–$228

Estimated from CMS fee schedules + commercial rate multipliers

Texas is the largest commercial hospital market in the country by revenue. HCA, Tenet, and Community Health Systems are significant for-profit players across the state. Dallas-Fort Worth, Houston, and San Antonio have genuine multi-system competition that creates real price variation. Rural Texas - particularly West Texas and the Panhandle - has extensive critical access hospital coverage where pricing differs substantially from urban PPS hospitals.

Received a bill? Check it for errors → Estimate YOUR cost before you go → Managing more than one bill? See the family tracker →

Why prices vary - and what it means for your coverage

A small number of hospitals (13) report prices above $1,372, including RIO GRANDE REGIONAL HOSPITAL at $2,946, which drives most of the overall spread - excluding them, most facilities cluster in a much tighter band. Setting matters too: the median outpatient price is $212 versus $231 inpatient, so where a procedure happens often matters more than which hospital you pick.

On top of the facility price, your actual bill depends on your deductible, your out-of-pocket maximum, and whether every provider involved - not just the facility - is in-network.

Your situation Estimated out-of-pocket
Deductible not yet met ~$212
Deductible met - 20% coinsurance ~$42
Out-of-network provider $466+

Frequently asked questions: cortisone shot costs in Texas

How much does a cortisone shot cost in Texas?

The typical insurer-negotiated rate is $30, with most facilities between $22 and $42 (based on 408 hospitals reporting negotiated rates). Posted cash prices at the middle 80% of Texas hospitals run $53–$1,020; outlier facilities above and below that range are left out. What you pay depends on the facility, your insurance, and whether you have met your deductible.

Where is the cheapest place to get a cortisone shot in Texas?

Based on declared prices, the lowest posted price in our Texas data is Quitman Hospital, LLC in Quitman at about $53. By metro, Fort Worth has the lowest median ($53). Freestanding ambulatory surgery centers are often cheaper still and may not appear in hospital price data - ask your doctor whether one is an option.

Why is a cortisone shot so much cheaper at some Texas hospitals?

Typical prices vary about 1.9× (25th to 70th percentile of negotiated rates) because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In Texas, the median cash (self-pay) price is $222 versus a median negotiated rate of $464 - cash is the lower number at many hospitals. Asking for the cash price as well as your insurer's negotiated rate is often the single biggest lever on what you pay.

How much will I actually pay out of pocket for a cortisone shot in Texas?

Your out-of-pocket cost depends on your deductible, coinsurance, out-of-pocket maximum, and whether the facility is in-network - not just the sticker price. If you have not met your deductible, you will typically pay the negotiated rate in full until you do. Use the CostKits cost forecaster to estimate your specific out-of-pocket amount before you go.

Before you book

Other procedures in Texas

Cortisone Shot, elsewhere

CostKits compiles hospital price transparency data to help families make informed decisions. Track and manage your healthcare costs (free account).

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About the Author

John Caruso, FSA, MAAA

Healthcare actuary with 20+ years of experience in insurance pricing, medical billing systems, and healthcare cost analytics.

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Published October 29, 2026 · Updated October 29, 2026

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