CMS Price Transparency Data

Injection procedure for pain management

Facility: San Luis Valley Regional Medical Center

Billing Code: G0260 (HCPCS)

The BaseRate · fair price high confidence

A fair price for this

$930

about 1.3× the $721 Medicare rate · typically $597–$1,456

modeled estimate · not a bill or quote

Medicare pays $721 Fair price $930 Cash price $618 Hospital's list price $1,123

How we calculate the fair BaseRate →

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	$986 - $1,033	137%
Blue Cross Blue Shieldmajor	$988	137%
Aetnamajor	$323 - $983	45%
Cignamajor	$1,067	148%
Humanamajor	$1,011	140%
Kaiser Permanentemajor	$745 - $1,067	103%
Presbyterian	$1,675	232%
+ 8 smaller / regional plans	$764 - $1,067

Government programs also on file: Military & VA.

Excludes 2 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 618), 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 San Luis Valley Regional 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 San Luis Valley Regional Medical Center

Compare: Injection procedure for pain management at other CO hospitals

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