CMS Price Transparency Data

Injection procedure for pain management

Facility: Mercyone Clinton Medical Center

Billing Code: G0260 (HCPCS)

The BaseRate · fair price high confidence

A fair price for this

$687

about 1.0× the $721 Medicare rate · typically $538–$1,054

modeled estimate · not a bill or quote

What this hospital charges insurers

$721

About the fair price

about $34 over the fair price · 1.0× Medicare

Medicare pays $721 Fair price $687 This hospital $721 Cash price $2,810 Hospital's list price $4,324

How we calculate the fair BaseRate →

How this hospital compares to other IA hospitals

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

Cheapest $229 Priciest $721

Black dot = this hospital, among the 9 IA 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 $687 (about 1.0× the $721 Medicare rate). Mercyone Clinton Medical Center charges insurers about $721, or about $2,810 in cash — about the fair price. Located in Clinton, IA.

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✓ Kaiser Permanente Humana

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	$751 - $5,188	104%
Blue Cross Blue Shieldmajor	$721 - $744	100%
Aetnamajor	$736 - $4,540	102%
Cignamajor	$3,113 - $4,669	432%
Kaiser Permanentemajor	$721	100%
Ambetter (Centene)	$116	16%
HealthPartners	$3,034 - $4,550	421%
Medica	$3,113 - $4,669	432%
Medical Mutual	$3,027 - $4,540	420%
Oscar Health	$94	13%
+ 24 smaller / regional plans	$92 - $5,188

Government programs also on file: Medicare, Medicaid.

Excludes 6 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 2,810), 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 Mercyone Clinton 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 Mercyone Clinton Medical Center

Compare: Injection procedure for pain management at other IA hospitals

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