CMS Price Transparency Data

Injection procedure for pain management

Facility: Lower Keys Medical Center

Billing Code: G0260 (HCPCS)

The BaseRate · fair price medium confidence

A fair price for this

$868

about 1.2× the $721 Medicare rate · typically $554–$1,911

modeled estimate · not a bill or quote

What this hospital charges insurers

$513

Below the fair price — a good deal

about $355 under the fair price · 0.7× Medicare

Medicare pays $721 Fair price $868 This hospital $513 Cash price $651 Hospital's list price $2,099

How we calculate the fair BaseRate →

How this hospital compares to other FL hospitals

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

Cheapest $225 Priciest $670

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

A fair price for a Injection procedure for pain management is about $868 (about 1.2× the $721 Medicare rate). Lower Keys Medical Center charges insurers about $513, or about $651 in cash — below the fair price — a good deal. Located in Key West, FL.

What each insurance company pays

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

5 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	$789 - $1,614	109%
Blue Cross Blue Shieldmajor	$735 - $2,099	102%
Aetnamajor	$1,465	203%
Cignamajor	$1,238	172%
Humanamajor	$456 - $777	63%
Amerigroup	$486	67%
AvMed	$1,784	247%
Molina	$500	69%
Simply Healthcare	$486 - $651	67%
WellCare	$486	67%
+ 12 smaller / regional plans	$442 - $2,099

Government programs also on file: Medicare, Medicaid, 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 651), 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 Lower Keys 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 Lower Keys Medical Center

Compare: Injection procedure for pain management at other FL hospitals

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