Injection procedure for pain management cost
What a injection procedure for pain management costs across the U.S. — and the fair price to aim for.
Typical commercial prices here match the fair market benchmark (1.00×) after accounting for local nurse/doctor wages and patient complexity.
Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.
Loss-Leader / Captive Ancillary Cross-Subsidizer
Iowa Specialty Hospital - Clarion prices routine shoppable procedures near 1.9× Medicare (p50 1.68×) while skewing captive emergency, lab, and upper-quartile codes to 5.8× Medicare (p75 2.47×, +47% upper-tail jump). Patients scheduling elective outpatient care can capture competitive rates, but emergency and ancillary bills require strict line-item auditing.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 1.09× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 51% of shoppable procedures (99/100 Cash Honesty)
- 4-Star CMS clinical rating with 84% patient recommendation (74/100 safety score)
- Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling
Where You Can Get Burned (Markup Traps)
- Even at low-cost facilities (1.00× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
- Captive ER (1.5×) & laboratory (1.7×) services average 3.05× higher multiples than routine shoppable care (1.9×)
- Upper-quartile procedures (Q75 2.47×) jump +47% above the median procedure ratio (Q50 1.68×)
- Unnegotiated chargemaster list prices average 5.7× Medicare (24¢ true HCRIS cost per $1 gross)
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
National State Price Index Heatmap · Injection procedure for pain management
State commercial price index vs. U.S. median (1.00×) and average Medicare multiple across all 53 priced states & territories
Across 1,736 hospitals in 50 states, a injection procedure for pain management has a fair BaseRate of $890 and typically costs $648–$2,303. The cheapest state is ME; the priciest is WI.
Cheapest hospitals for a injection procedure for pain management
- Iowa Specialty Hospital - Clarion · Clarion, IA $177
- Copley Hospital · Morrisville, VT $210
- Putnam General Hospital · Eatonton, GA $213
- H. Lee Moffitt Cancer Center and Research Institute Hospital, Inc. · Tampa, FL $225
- Jones Regional Medical Center · Anamosa, IA $229
- Northern Maine Medical Center · Fort Kent, ME $234
- Allen County Regional Hospital · Iola, KS $241
- Jacksonville Memorial Hospital · Jacksonville, IL $246
- Crook County Hospital · Sundance, WY $262
- Ascension Borgess Allegan Hospital · Allegan, MI $263
- Livingston Healthcare · Livingston, MT $270
- Saint Joseph Regional Medical Center - Plymouth · Plymouth, IN $286
- Saint Joseph Regional Medical Center · Mishawaka, IN $286
- Cook Hospital · Cook, MN $286
- The Hospital of Central Connecticut · New Britain, CT $288
Injection procedure for pain management cost by state
Audit a Bill or Quote at U.S. Hospital Benchmark (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $745
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $745).
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Ask U.S. Hospital Benchmark's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.
Negotiate Toward $890 Fair BaseRate ($516 Medicare)
Your bill ($2,052) is $1,162 above the denoised Fair BaseRate ($890) and 4.0× the $516 Medicare rate.