CMS Price Transparency Data

Injection procedure for pain management

Facility: Saint Alphonsus Regional Medical Center

Billing Code: G0260 (HCPCS)

The BaseRate · fair price high confidence

A fair price for this

$1,046

about 1.5× the $721 Medicare rate · typically $660–$1,679

modeled estimate · not a bill or quote

What this hospital charges insurers

$1,304

Above the fair price

about $258 over the fair price · 1.8× Medicare

Medicare pays $721 Fair price $1,046 This hospital $1,304 Cash price $1,972 Hospital's list price $3,034

How we calculate the fair BaseRate →

How this hospital compares to other ID hospitals

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

Cheapest $584 Priciest $1,304

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

A fair price for a Injection procedure for pain management is about $1,046 (about 1.5× the $721 Medicare rate). Saint Alphonsus Regional Medical Center charges insurers about $1,304, or about $1,972 in cash — above the fair price. Located in Boise, ID.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $1,046. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

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

6 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	$747 - $3,641	104%
Blue Cross Blue Shieldmajor	$478 - $2,609	66%
Aetnamajor	$769 - $3,342	107%
Cignamajor	$9,545	1324%
Humanamajor	$2,427 - $3,641	337%
Kaiser Permanentemajor	$1,304 - $2,609	181%
Dean Health Plan	$2,184 - $3,277	303%
GEHA	$2,184 - $3,342	303%
Health Net	$1,772 - $3,277	246%
Moda Health	$135 - $3,277	19%
Molina	$164	23%
PacificSource	$1,456 - $2,658	202%
Paramount	$2,184 - $3,277	303%
Priority Health	$9,545	1324%
SelectHealth	$152 - $3,277	21%
+ 40 smaller / regional plans	$728 - $9,545

Government programs also on file: Medicare, Medicaid.

Excludes 3 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 1,972), 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 Saint Alphonsus 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 Saint Alphonsus Regional Medical Center

Compare: Injection procedure for pain management at other ID hospitals

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