CMS Price Transparency Data

Injection procedure for pain management

Facility: Sarah Bush Lincoln Health Center

Billing Code: G0260 (HCPCS)

The BaseRate · fair price medium confidence

A fair price for this

$452

about 0.6× the $721 Medicare rate · typically $232–$1,028

modeled estimate · not a bill or quote

Medicare pays $721 Fair price $452 Cash price $577 Hospital's list price $577

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.

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

✓ UnitedHealthcare✓ Aetna✓ Cigna Blue Cross Blue ShieldHumanaKaiser 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	$383 - $574	53%
Aetnamajor	$370 - $623	51%
Cignamajor	$416 - $623	58%
HealthLink	$397 - $595	55%
+ 12 smaller / regional plans	$185 - $623

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 577), 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 Sarah Bush Lincoln Health 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 Sarah Bush Lincoln Health Center

Compare: Injection procedure for pain management at other IL hospitals

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