CMS Price Transparency Data

Injection procedure for pain management

Facility: Mercy Medical Center

Billing Code: G0260 (HCPCS)

The BaseRate · fair price high confidence

A fair price for this

$894

about 1.2× the $721 Medicare rate · typically $672–$1,747

modeled estimate · not a bill or quote

What this hospital charges insurers

$776

Below the fair price — a good deal

about $118 under the fair price · 1.1× Medicare

Medicare pays $721 Fair price $894 This hospital $776 Cash price $644 Hospital's list price $1,251

How we calculate the fair BaseRate →

How this hospital compares to other CA hospitals

On the higher side — 6 of 8 other CA hospitals charge less.

Cheapest $353 Priciest $813

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 $894 (about 1.2× the $721 Medicare rate). Mercy Medical Center charges insurers about $776, or about $644 in cash — below the fair price — a good deal. Located in Merced, 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	$736 - $880	102%
Blue Cross Blue Shieldmajor	$743 - $8,557	103%
Aetnamajor	$743 - $5,322	103%
Cignamajor	$483 - $1,173	67%
Humanamajor	$743 - $776	103%
Kaiser Permanentemajor	$513 - $1,245	71%
Health Net	$743 - $9,131	103%
+ 5 smaller / regional plans	$245 - $821

Excludes 3 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 644), 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 Mercy 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 (%)

Enter your details and press estimate to compare.

Other Procedures at Mercy Medical Center

Compare: Injection procedure for pain management at other CA hospitals

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