CMS Price Transparency Data

Injection procedure for pain management

Facility: Decatur Memorial Hospital

Billing Code: G0260 (HCPCS)

The BaseRate · fair price high confidence

A fair price for this

$748

about 1.0× the $721 Medicare rate · typically $706–$881

modeled estimate · not a bill or quote

What this hospital charges insurers

$744

About the fair price

about $4 under the fair price · 1.0× Medicare

Medicare pays $721 Fair price $748 This hospital $744 Cash price $1,047 Hospital's list price $1,047

How we calculate the fair BaseRate →

How this hospital compares to other IL hospitals

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

Cheapest $246 Priciest $744

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 $748 (about 1.0× the $721 Medicare rate). Decatur Memorial Hospital charges insurers about $744, or about $1,047 in cash — about the fair price. Located in Decatur, IL.

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	$744 - $1,047	103%
Blue Cross Blue Shieldmajor	$692 - $1,047	96%
Aetnamajor	$495 - $1,087	69%
Cignamajor	$488	68%
Humanamajor	$744 - $817	103%
HealthLink	$699 - $718	97%
WellCare	$744	103%
+ 9 smaller / regional plans	$450 - $1,702

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

Excludes 6 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 1,047), 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 Decatur Memorial 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 Decatur Memorial Hospital

Compare: Injection procedure for pain management at other IL hospitals

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