CMS Price Transparency Data

Injection procedure for pain management

Facility: Tri-City Medical Center

Billing Code: G0260 (HCPCS)

The BaseRate · fair price high confidence

A fair price for this

$985

about 1.4× the $721 Medicare rate · typically $789–$1,237

modeled estimate · not a bill or quote

What this hospital charges insurers

$908

About the fair price

about $77 under the fair price · 1.3× Medicare

Medicare pays $721 Fair price $985 This hospital $908 Cash price $1,030 Hospital's list price $1,716

How we calculate the fair BaseRate →

How this hospital compares to other CA hospitals

Highest price of the 9 CA hospitals we have prices for — worth calling around.

Cheapest $353 Priciest $908

Black dot = this hospital, among the 9 CA hospitals with a price for this procedure. Full list below.

A fair price for a Injection procedure for pain management is about $985 (about 1.4× the $721 Medicare rate). Tri-City Medical Center charges insurers about $908, or about $1,030 in cash — about the fair price. Located in Oceanside, CA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

6 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$721 - $908	100%
Blue Cross Blue Shieldmajor	$753 - $959	104%
Aetnamajor	$908 - $6,640	126%
Cignamajor	$1,009 - $1,437	140%
Humanamajor	$908	126%
Kaiser Permanentemajor	$908	126%
Bright Health	$1,453	201%
Health Net	$726 - $1,434	101%
Molina	$908 - $1,226	126%
Providence Health Plan	$1,271	176%
+ 8 smaller / regional plans	$614 - $1,362

Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 1,030), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the HCPCS code on your bill matches exactly: G0260.

Insurance Before you use insurance

Call your insurance company to confirm Tri-City Medical Center is in-network.
Ask your insurer whether prior approval is required for HCPCS code G0260.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

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Other Procedures at Tri-City Medical Center

Compare: Injection procedure for pain management at other CA hospitals

Insurance negotiated median for the same procedure, sorted lowest first.