Injection procedure for pain management
Facility: Memorial Hospital Miramar
Billing Code: G0260 (HCPCS)
- CPT Billing Code: G0260
- Insurance Median: $2,490
- Cash Discount Price: $2,682
- vs. Medicare Baseline: 3.45x 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 345% of the Medicare baseline (a markup of 245%). 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 |
|---|---|---|
| Avmed | $463 - $1,813 | 64% |
| Aetna | $613 - $818 | 85% |
| Cigna | $659 - $1,758 | 91% |
| Broward County | $718 - $2,726 | 100% |
| Wellcare | $781 - $803 | 108% |
| Florida Community Care | $789 | 109% |
| Humana | $796 | 110% |
| Doctors Healthcare Plans | $833 | 116% |
| Solis Health Plan | $833 | 116% |
| Health Sun | $840 - $2,873 | 116% |
| Florida Pace Centers | $848 | 118% |
| UnitedHealthcare | $885 | 123% |
| Align Senior Care | $899 | 125% |
| Gold Kidney | $899 | 125% |
| Longevity | $921 | 128% |
| Sunshine | $995 - $1,609 | 138% |
| Employers Health Network | $1,226 | 170% |
| Emerging Therapy Solutions | $2,299 | 319% |
| Quality Health Management | $2,490 | 345% |
| Global Health Claims | $2,490 - $3,256 | 345% |
| Worldwide Managed Care Partners | $2,490 | 345% |
| Global Reach Health | $2,490 | 345% |
| Global Medical Management | $2,490 | 345% |
| Desjardins Financial Security Life Assurance Company | $2,490 | 345% |
| Quebec Inc | $2,490 | 345% |
| Worldwide Medical Assurance | $2,490 | 345% |
| Star Healthcare Network | $2,490 | 345% |
| National Healthcare Solutions | $2,490 | 345% |
| World Medical Care | $2,490 | 345% |
| Plotkin | $2,490 | 345% |
| Axis | $2,490 | 345% |
| Allianz | $2,490 | 345% |
| Dimension Health | $2,586 | 359% |
| Gallagher Bassett | $3,065 - $10,450 | 425% |
| Employers Choice Network | $3,065 - $10,450 | 425% |
| First Health | $10,450 | 1449% |
| Corvel | $10,780 | 1495% |