CMS Price Transparency Data

Injection procedure for pain management

Facility: St Lukes Regional Medical Center

Billing Code: G0260 (HCPCS)

The BaseRate · fair price high confidence

A fair price for this

$656

about 0.9× the $721 Medicare rate · typically $636–$813

modeled estimate · not a bill or quote

What this hospital charges insurers

$688

About the fair price

about $32 over the fair price · 1.0× Medicare

Medicare pays $721 Fair price $656 This hospital $688 Cash price $1,357 Hospital's list price $1,696

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 $688

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 $656 (about 0.9× the $721 Medicare rate). St Lukes Regional Medical Center charges insurers about $688, or about $1,357 in cash — about the fair price. Located in Sioux City, 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✓ Humana Kaiser 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	$709 - $1,848	98%
Blue Cross Blue Shieldmajor	$230 - $688	32%
Aetnamajor	$186 - $1,693	26%
Cignamajor	$1,067 - $2,133	148%
Humanamajor	$709	98%
Amerigroup	$613	85%
HealthPartners	$159 - $1,034	22%
Medica	$875 - $1,960	121%
Molina	$688	95%
+ 4 smaller / regional plans	$93 - $2,205

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 1,357), 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 St Lukes Regional 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 St Lukes Regional Medical Center

Compare: Injection procedure for pain management at other IA hospitals

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