Price Checker / CPT 20552
How much does Njx 1/mlt Trigger Point 1/2 cost?
CPT 20552 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is around 45x the fair price — among the most extreme markups. Dispute this.
Fair price
$80–$160
What this should cost
With insurance
~$75,200
Typical out-of-pocket
Overcharged if over
$200
Push back above this
The average hospital charge of $5,362 is $5,242 over the fair price (about 45x the fair rate).
What hospitals charge for Njx 1/mlt Trigger Point 1/2
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| Mather Hospital , NY | — | $4,595 | 35722% |
| WTH Dyersburg Hospital , TN | — | $250 | 28067% |
| Lenox Hill Hospital NEW YORK, NY | — | $4,595 | 24647% |
| North Shore University Hospital MANHASSET, NY | — | $4,595 | 21969% |
| Plainview Hospital PLAINVIEW, NY | — | $4,595 | 19989% |
| Franciscan Health Lafayette LAFAYETTE, IN | $10,239 | $2,632 | 19678% |
| "Cohen Children's Medical Center" , NY | — | $4,595 | 19625% |
| Long Island Jewish Medical Center NEW HYDE PARK, NY | — | $4,595 | 19625% |
| Zucker Hillside Hospital , NY | — | $4,595 | 19625% |
| Glen Cove Hospital , NY | — | $4,595 | 18540% |
| Huntington Hospital PASADENA, NY | — | $4,595 | 17001% |
| Long Island Jewish Forest Hills , NY | — | $4,595 | 17001% |
| Long Island Jewish Valley Stream , NY | — | $4,595 | 17001% |
| South Shore University Hospital , NY | — | $4,595 | 17001% |
| Staten Island University Hospital STATEN ISLAND, NY | — | $4,595 | 17001% |
Were you billed for this procedure?
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About Njx 1/mlt Trigger Point 1/2
CPT code 20552 refers to njx 1/mlt trigger point 1/2 (billing description: "Njx 1/mlt trigger point 1/2"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $36 in a facility (hospital or surgery center) and $52 in a doctor's office.
The Medicare rate is the closest thing to an objective "what this work is actually worth." A fair cash price for the uninsured is generally 1.5–3x that rate. Hospital sticker (gross) charges are often far higher — but almost nobody actually pays them.
What to do if you were overcharged
- 1Send us your bill — we'll identify this code and compare it against the rates shown above.
- 2Get a dispute letter — citing the Medicare rate and your hospital's own published pricing data.
- 3We negotiate for you — 25% of savings, no savings = no fee.