CMS Price Transparency Data

Injection procedure for pain management

Facility: Elkhart General Hospital

Billing Code: G0260 (HCPCS)

The BaseRate · fair price high confidence

A fair price for this

$901

about 1.2× the $721 Medicare rate · typically $693–$1,775

modeled estimate · not a bill or quote

What this hospital charges insurers

$725

Below the fair price — a good deal

about $176 under the fair price · 1.0× Medicare

Medicare pays $721 Fair price $901 This hospital $725 Cash price $1,268 Hospital's list price $1,950

How we calculate the fair BaseRate →

How this hospital compares to other IN hospitals

On the higher side — 7 of 8 other IN hospitals charge less.

Cheapest $286 Priciest $736

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

A fair price for a Injection procedure for pain management is about $901 (about 1.2× the $721 Medicare rate). Elkhart General Hospital charges insurers about $725, or about $1,268 in cash — below the fair price — a good deal. Located in Elkhart, IN.

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	$389 - $1,310	54%
Blue Cross Blue Shieldmajor	$408 - $2,164	57%
Aetnamajor	$725 - $1,320	101%
Cignamajor	$1,404 - $1,482	195%
Humanamajor	$725 - $1,365	101%
CareSource	$1,161 - $2,535	161%
Devoted Health	$390 - $762	54%
+ 9 smaller / regional plans	$389 - $2,535

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 1,268), 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 Elkhart General 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 Elkhart General Hospital

Compare: Injection procedure for pain management at other IN hospitals

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