CMS Price Transparency Data

Injection procedure for pain management

Facility: Coral Gables Hospital

Billing Code: G0260 (HCPCS)

The BaseRate · fair price medium confidence

A fair price for this

$847

about 1.2× the $721 Medicare rate · typically $649–$2,294

modeled estimate · not a bill or quote

What this hospital charges insurers

$670

Below the fair price — a good deal

about $177 under the fair price · 0.9× Medicare

Medicare pays $721 Fair price $847 This hospital $670 Cash price $2,775 Hospital's list price $2,775

How we calculate the fair BaseRate →

How this hospital compares to other FL hospitals

Highest price of the 9 FL hospitals we have prices for — worth calling around.

Cheapest $225 Priciest $670

Black dot = this hospital, among the 9 FL 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 $847 (about 1.2× the $721 Medicare rate). Coral Gables Hospital charges insurers about $670, or about $2,775 in cash — below the fair price — a good deal. Located in Coral Gables, FL.

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✓ Aetna✓ Cigna✓ Humana Blue Cross Blue ShieldKaiser 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	$291 - $1,270	40%
Aetnamajor	$78 - $2,931	11%
Cignamajor	$342 - $1,149	47%
Humanamajor	$286 - $1,426	40%
Ambetter (Centene)	$1,260	175%
AmeriHealth	$1,465	203%
AvMed	$481 - $1,394	67%
Bright Health	$817	113%
Devoted Health	$670	93%
Molina	$1,298	180%
Oscar Health	$189 - $377	26%
+ 23 smaller / regional plans	$300 - $3,908

Government programs also on file: Medicare, Medicaid, Military & VA.

Excludes 7 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 2,775), 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 Coral Gables Hospital 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 Coral Gables Hospital

Compare: Injection procedure for pain management at other FL hospitals

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