CMS Price Transparency Data

Injection procedure for pain management

Facility: Bristol Hospital

Billing Code: G0260 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0260
Insurance Median: $3,499
Cash Discount Price: $2,886
vs. Medicare Baseline: 4.85x Medicare

The contracted insurance negotiated median rate for a Injection procedure for pain management at Bristol Hospital is $3,499. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,886. Compared to the federal Medicare reimbursement reference rate of $721.17, this hospital’s rate is 4.85x the Medicare baseline. Located in 41 Brewster Rd, Bristol, CT.

Cash / Self-Pay

$2,886

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,499

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$721.17

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $721.17 (100%)

Cash / Self-Pay: $2,886 (400%)

Insurance Median: $3,499 (485%)

Cash: $2,886 (400% of Medicare)

Ins. Median: $3,499 (485% of 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 485% of the Medicare baseline (a markup of 385%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Aetna	$828 - $3,691	115%
Blue Cross Blue Shield	$828 - $3,499	115%
Connecticare	$828 - $4,154	115%
UnitedHealthcare	$828 - $4,159	115%
Wellcare	$853	118%
Carepartners of Ct	$869	120%
Claim Doc	$1,656	230%
Cigna	$4,248	589%
Multiplan	$4,251	589%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $2,886.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: G0260.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Bristol Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for HCPCS code G0260.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.