CMS Price Transparency Data

Injection procedure for pain management

Facility: University of Iowa Health Care Medical Center Down

Billing Code: G0260 (HCPCS)

The BaseRate · fair price high confidence

A fair price for this

$737

about 1.0× the $721 Medicare rate · typically $559–$1,003

modeled estimate · not a bill or quote

What this hospital charges insurers

$410

Below the fair price — a good deal

about $327 under the fair price · 0.6× Medicare

Medicare pays $721 Fair price $737 This hospital $410 Cash price $524 Hospital's list price $749

How we calculate the fair BaseRate →

How this hospital compares to other IA hospitals

One of the lower prices — 6 of 8 other IA hospitals charge more for the same procedure.

Cheapest $229 Priciest $646

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

A fair price for a Injection procedure for pain management is about $737 (about 1.0× the $721 Medicare rate). University of Iowa Health Care Medical Center Down charges insurers about $410, or about $524 in cash — below the fair price — a good deal. Located in Iowa City, IA.

What each insurance company pays

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

2 of 6 major insurers have a published price at this hospital

✓ Blue Cross Blue Shield✓ Aetna UnitedHealthcareCignaHumanaKaiser 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
Blue Cross Blue Shieldmajor	$230 - $271	32%
Aetnamajor	$374 - $413	52%
HealthPartners	$408 - $637	57%
Molina	$300	42%
Oscar Health	$472	65%
Sanford Health Plan	$637	88%
+ 10 smaller / regional plans	$187 - $659

Excludes 4 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 524), 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 University of Iowa Health Care Medical Center Down 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 University of Iowa Health Care Medical Center Down

Compare: Injection procedure for pain management at other IA hospitals

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