CMS Price Transparency Data

Injection procedure for pain management

Facility: Saint Joseph Regional Medical Center - Plymouth

Billing Code: G0260 (HCPCS)

The BaseRate · fair price medium confidence

A fair price for this

$776

about 1.1× the $721 Medicare rate · typically $364–$1,880

modeled estimate · not a bill or quote

What this hospital charges insurers

$286

Below the fair price — a good deal

about $490 under the fair price · 0.4× Medicare

Medicare pays $721 Fair price $776 This hospital $286 Cash price $2,198 Hospital's list price $3,382

How we calculate the fair BaseRate →

How this hospital compares to other IN hospitals

Lowest price of the 9 IN hospitals we have prices for — a strong deal.

Cheapest $286 Priciest $736

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Injection procedure for pain management is about $776 (about 1.1× the $721 Medicare rate). Saint Joseph Regional Medical Center - Plymouth charges insurers about $286, or about $2,198 in cash — below the fair price — a good deal. Located in Plymouth, IN.

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✓ Cigna HumanaKaiser 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	$286 - $2,597	40%
Blue Cross Blue Shieldmajor	$286 - $732	40%
Aetnamajor	$101 - $2,638	14%
Cignamajor	$1,948 - $2,922	270%
AvMed	$2,435 - $3,652	338%
CareSource	$108	15%
Dean Health Plan	$2,435 - $3,652	338%
GEHA	$1,732 - $2,597	240%
Health Net	$1,948 - $3,125	270%
HealthPartners	$1,948 - $2,922	270%
Medical Mutual	$1,759 - $2,638	244%
Meridian	$747	104%
MVP Health Care	$1,948 - $2,922	270%
Paramount	$2,435 - $3,652	338%
Priority Health	$1,948 - $2,922	270%
+ 51 smaller / regional plans	$73 - $4,058

Government programs also on file: Medicare, Medicaid.

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 2,198), 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 Saint Joseph Regional Medical Center - Plymouth 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 Saint Joseph Regional Medical Center - Plymouth

Compare: Injection procedure for pain management at other IN hospitals

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