CMS Price Transparency Data

Injection procedure for pain management

Facility: Trinity - Bettendorf

Billing Code: G0260 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0260
Insurance Median: $728
Cash Discount Price: $1,797
vs. Medicare Baseline: 1.01x Medicare

The contracted insurance negotiated median rate for a Injection procedure for pain management at Trinity - Bettendorf is $728. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,797. Compared to the federal Medicare reimbursement reference rate of $721.17, this hospital’s rate is 1.01x the Medicare baseline. Located in 4500 Utica Ridge Road, Bettendorf, IA.

Cash / Self-Pay

$1,797

Average discount available for prompt cash payment at this facility.

Insurance Median

$728

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$721.17

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $721.17 (100%)

Cash / Self-Pay: $1,797 (249%)

Insurance Median: $728 (101%)

Cash: $1,797 (249% of Medicare)

Ins. Median: $728 (101% of 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.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Health Partners Open Network	$159 - $999	22%
Aetna	$186 - $1,709	26%
Wellmark Uph Self-Funded	$230	32%
Blue Cross Blue Shield	$230 - $651	32%
Amerigroup	$596	83%
Iowa Total Care	$596	83%
Health Alliance	$651	90%
UnitedHealthcare	$670 - $1,779	93%
Humana	$670	93%
Meridian Health Plan	$670	93%
Medica Exchange Inspire	$786 - $1,573	109%
Medica Exchange Insure	$881 - $1,761	122%
Ambetter / Centene	$1,022	142%
Cigna	$1,184 - $2,368	164%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $1,797.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: G0260.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Trinity - Bettendorf is fully in-network.
Ask your insurer if "Prior Authorization" is required for HCPCS code G0260.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.