CMS Price Transparency Data

Injection procedure for pain management

Facility: Miami County Medical Center

Billing Code: G0260 (HCPCS)

The BaseRate · fair price medium confidence

A fair price for this

$1,005

about 1.4× the $721 Medicare rate · typically $568–$1,979

modeled estimate · not a bill or quote

What this hospital charges insurers

$357

Below the fair price — a good deal

about $648 under the fair price · 0.5× Medicare

Medicare pays $721 Fair price $1,005 This hospital $357 Cash price $282 Hospital's list price $1,410

How we calculate the fair BaseRate →

How this hospital compares to other KS hospitals

A typical price — 1 charge more and 5 charge less, among the 9 KS hospitals compared.

Cheapest $295 Priciest $391

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

A fair price for a Injection procedure for pain management is about $1,005 (about 1.4× the $721 Medicare rate). Miami County Medical Center charges insurers about $357, or about $282 in cash — below the fair price — a good deal. Located in Paola, KS.

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✓ Cigna✓ Humana AetnaKaiser 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	$104 - $1,069	14%
Blue Cross Blue Shieldmajor	$104 - $1,255	14%
Cignamajor	$957 - $1,298	133%
Humanamajor	$668	93%
Devoted Health	$659	91%
GEHA	$718 - $974	100%
HealthLink	$755 - $1,162	105%
Medica	$718 - $974	100%
+ 7 smaller / regional plans	$357 - $1,025

Government programs also on file: Medicaid, Military & VA.

Excludes 4 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 282), 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 Miami County Medical 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 Miami County Medical Center

Compare: Injection procedure for pain management at other KS hospitals

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