CMS Price Transparency Data

Injection procedure for pain management

Facility: Teton Valley Hospital

Billing Code: G0260 (HCPCS)

The BaseRate · fair price medium confidence

A fair price for this

$292

about 0.4× the $721 Medicare rate · typically $112–$639

modeled estimate · not a bill or quote

Medicare pays $721 Fair price $292 Cash price $377 Hospital's list price $471

How we calculate the fair BaseRate →

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✓ Cigna UnitedHealthcareAetnaHumanaKaiser 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	$248 - $505	34%
Cignamajor	$219 - $252	30%
Moda Health	$263 - $303	36%
SelectHealth	$328 - $379	45%
+ 1 smaller / regional plan	$285 - $328

Government programs also on file: Medicare, Military & VA.

Excludes 1 rental-network / third-party entry (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 377), 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 Teton Valley Hospital 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 Teton Valley Hospital

Compare: Injection procedure for pain management at other ID hospitals

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