CMS Price Transparency Data

Injection procedure for pain management

Facility: Washington Hospital

Billing Code: G0260 (HCPCS)

The BaseRate · fair price high confidence

A fair price for this

$1,195

about 1.7× the $721 Medicare rate · typically $832–$2,274

modeled estimate · not a bill or quote

What this hospital charges insurers

$1,033

Below the fair price — a good deal

about $162 under the fair price · 1.4× Medicare

Medicare pays $721 Fair price $1,195 This hospital $1,033 Cash price $2,525 Hospital's list price $3,884

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 $1,033

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 $1,195 (about 1.7× the $721 Medicare rate). Washington Hospital charges insurers about $1,033, or about $2,525 in cash — below the fair price — a good deal. Located in Fremont, 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	$1,033 - $3,381	143%
Blue Cross Blue Shieldmajor	$1,007 - $2,979	140%
Aetnamajor	$1,033 - $14,279	143%
Cignamajor	$2,412 - $3,107	334%
Humanamajor	$1,033 - $3,496	143%
Kaiser Permanentemajor	$1,033 - $2,097	143%
Health Net	$777 - $2,412	108%
+ 11 smaller / regional plans	$1,033 - $3,496

Government programs also on file: Medicaid, Military & VA.

Excludes 15 rental-network / third-party entries (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 2,525), 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 Washington Hospital 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 (%)

Enter your details and press estimate to compare.

Other Procedures at Washington Hospital

Compare: Injection procedure for pain management at other CA hospitals

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