CMS Price Transparency Data

Injection procedure for pain management

Facility: Presence St Marys Hospital

Billing Code: G0260 (HCPCS)

The BaseRate · fair price high confidence

A fair price for this

$782

about 1.1× the $721 Medicare rate · typically $734–$935

modeled estimate · not a bill or quote

What this hospital charges insurers

$753

About the fair price

about $29 under the fair price · 1.0× Medicare

Medicare pays $721 Fair price $782 This hospital $753 Cash price $752 Hospital's list price $1,847

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 $753

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 $782 (about 1.1× the $721 Medicare rate). Presence St Marys Hospital charges insurers about $753, or about $752 in cash — about the fair price. Located in Kankakee, 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	$355 - $1,664	49%
Blue Cross Blue Shieldmajor	$398 - $1,054	55%
Aetnamajor	$398 - $1,169	55%
Cignamajor	$365 - $753	51%
Humanamajor	$398 - $828	55%
Ambetter (Centene)	$1,219	169%
Devoted Health	$753	104%
Health Net	$903	125%
HealthPartners	$753 - $866	104%
Meridian	$418 - $790	58%
Molina	$418 - $1,129	58%
WellCare	$753	104%
+ 10 smaller / regional plans	$398 - $1,167

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 (about 752), 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 Presence St Marys 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 Presence St Marys Hospital

Compare: Injection procedure for pain management at other IL hospitals

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