CMS Price Transparency Data

Injection procedure for pain management

Facility: Memorialcare Saddleback Medical Center

Billing Code: G0260 (HCPCS)

The BaseRate · fair price high confidence

A fair price for this

$1,151

about 1.6× the $721 Medicare rate · typically $832–$2,201

modeled estimate · not a bill or quote

What this hospital charges insurers

$1,626

Above the fair price

about $475 over the fair price · 2.3× Medicare

Medicare pays $721 Fair price $1,151 This hospital $1,626 Cash price $9,702 Hospital's list price $9,702

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 $1,626

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Injection procedure for pain management is about $1,151 (about 1.6× the $721 Medicare rate). Memorialcare Saddleback Medical Center charges insurers about $1,626, or about $9,702 in cash — above the fair price. Located in Laguna Hills, CA.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $1,151. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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	$2,133 - $3,642	296%
Blue Cross Blue Shieldmajor	$890 - $3,304	123%
Aetnamajor	$908 - $4,134	126%
Cignamajor	$2,057 - $3,234	285%
Health Net	$2,044 - $2,920	283%
SelectHealth	$590 - $1,226	82%
+ 7 smaller / regional plans	$817 - $2,270

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 9,702), 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 Memorialcare Saddleback 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 Memorialcare Saddleback Medical Center

Compare: Injection procedure for pain management at other CA hospitals

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