CMS Price Transparency Data

Injection procedure for pain management

Facility: Mc Donough District Hospital

Billing Code: G0260 (HCPCS)

The BaseRate · fair price high confidence

A fair price for this

$590

about 0.8× the $721 Medicare rate · typically $324–$784

modeled estimate · not a bill or quote

What this hospital charges insurers

$675

About the fair price

about $85 over the fair price · 0.9× Medicare

Medicare pays $721 Fair price $590 This hospital $675

How we calculate the fair BaseRate →

How this hospital compares to other IL hospitals

One of the lower prices — 6 of 8 other IL hospitals charge more for the same procedure.

Cheapest $246 Priciest $722

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

A fair price for a Injection procedure for pain management is about $590 (about 0.8× the $721 Medicare rate). Mc Donough District Hospital charges insurers about $675 — about the fair price. Located in Macomb, IL.

What each insurance company pays

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

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser 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	$773	107%
Blue Cross Blue Shieldmajor	$576	80%
Aetnamajor	$576 - $773	80%
Humanamajor	$576 - $773	80%
Meridian	$773	107%
+ 2 smaller / regional plans	$773

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

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, 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 Mc Donough District 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 Mc Donough District Hospital

Compare: Injection procedure for pain management at other IL hospitals

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