Injection procedure for pain management
Facility: St Francis Hospital & Medical Center
Billing Code: G0260 (HCPCS)
- CPT Billing Code: G0260
- Insurance Median: $2,599
- Cash Discount Price: $3,159
- vs. Medicare Baseline: 3.60x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Understanding this gauge: We use the federal Medicare rate of $721.17 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 360% of the Medicare baseline (a markup of 260%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Blue Cross Blue Shield | $80 - $2,941 | 11% |
| Blue Shield - PA (Highmark) | $89 - $2,941 | 12% |
| Bcn Domestic | $89 - $2,941 | 12% |
| Wc Domestic | $89 - $2,941 | 12% |
| Blue Shield - Ny Highmark Western | $89 - $2,941 | 12% |
| Pre-Employment | $89 - $2,941 | 12% |
| Blue Distinction Transplant | $89 - $2,941 | 12% |
| Blue Shield - Id (Regence) | $89 - $2,941 | 12% |
| Kaiser Domestic | $89 - $2,941 | 12% |
| Blue Shield - Wa (Regence) | $89 - $2,941 | 12% |
| Blue Shield - Ny Highmark Northeastern | $89 - $2,941 | 12% |
| Wellpoint | $89 - $2,941 | 12% |
| Blue Care Network | $89 - $2,941 | 12% |
| Health Choices | $89 - $2,941 | 12% |
| Blue Shield - Ca | $89 - $2,941 | 12% |
| Blue Benefit Administrators of Massachusetts | $89 - $2,941 | 12% |
| Unicare | $89 - $2,941 | 12% |
| Fallon Health | $101 - $1,100 | 14% |
| Centivo | $155 | 21% |
| Innovative Health Plan II | $162 - $1,777 | 22% |
| Connecticut Dept of Correction | $782 | 108% |
| Aetna | $829 | 115% |
| Medicare (plans) | $829 - $872 | 115% |
| Cca Senior Care Options | $846 | 117% |
| UnitedHealthcare | $846 | 117% |
| Cigna | $854 - $4,586 | 118% |
| Health New England | $2,108 - $3,162 | 292% |
| Asrm - Reliance Standard Life Insurance | $2,599 - $3,898 | 360% |
| Medi Share | $2,599 - $3,898 | 360% |
| Manhattan Life | $2,599 - $3,898 | 360% |
| Lifetime Benefit Solutions | $2,599 - $3,898 | 360% |
| Family Life Insurance Company | $2,599 - $3,898 | 360% |
| Christian Care Ministry | $2,599 - $3,898 | 360% |
| Multiplan | $2,599 - $3,898 | 360% |
| PHCS | $2,599 - $3,898 | 360% |
| Mvp | $2,599 - $3,898 | 360% |
| Allied National Global Care | $2,599 - $3,898 | 360% |
| Pai | $2,599 - $3,898 | 360% |
| International Benefit Administrators | $2,599 - $3,898 | 360% |
| Ghc Scw | $2,599 - $3,898 | 360% |
| Trinity Health Share | $2,599 - $3,898 | 360% |
| Dean Health | $2,599 - $3,898 | 360% |
| Pan-American Life | $2,599 - $3,898 | 360% |
| Paramount HMO | $2,599 - $3,898 | 360% |
| Prime Health Services | $2,675 - $4,012 | 371% |
| Health Smart | $3,249 - $4,872 | 451% |