CMS Price Transparency Data

Injection procedure for pain management

Facility: Saint Joseph Hospital

Billing Code: G0260 (HCPCS)

The BaseRate · fair price medium confidence

A fair price for this

$1,279

about 1.8× the $721 Medicare rate · typically $675–$2,408

modeled estimate · not a bill or quote

What this hospital charges insurers

$895

Below the fair price — a good deal

about $384 under the fair price · 1.2× Medicare

Medicare pays $721 Fair price $1,279 This hospital $895 Cash price $757 Hospital's list price $1,548

How we calculate the fair BaseRate →

How this hospital compares to other KY hospitals

Highest price of the 9 KY hospitals we have prices for — worth calling around.

Cheapest $643 Priciest $895

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

A fair price for a Injection procedure for pain management is about $1,279 (about 1.8× the $721 Medicare rate). Saint Joseph Hospital charges insurers about $895, or about $757 in cash — below the fair price — a good deal. Located in Lexington, KY.

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	$391 - $1,223	54%
Blue Cross Blue Shieldmajor	$403 - $2,152	56%
Aetnamajor	$383 - $1,324	53%
Cignamajor	$895 - $1,291	124%
Humanamajor	$376 - $1,538	52%
CareSource	$1,361	189%
Molina	$334 - $714	46%
WellCare	$395 - $680	55%

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 757), 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 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 Saint Joseph Hospital

Compare: Injection procedure for pain management at other KY hospitals

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