Injection procedure for pain management
Facility: Breckinridge Memorial Hospital
Billing Code: G0260 (HCPCS)
This hospital's typical commercial price is $1,809 compared to the $599 fair price benchmark.
1-Star CMS clinical quality rating paired with 3.02× fair market pricing.
Highest price of the 9 KY hospitals we have prices for — worth calling around.
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 $599 (about 0.8× the $721 Medicare rate). Breckinridge Memorial Hospital charges insurers about $1,809, or about $905 in cash — well above the fair price. Located in Hardinsburg, KY.
This price is above the fair BaseRate — you may be able to pay less
Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $599. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.
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
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 | $651 - $1,538 | 90% |
| Blue Cross Blue Shieldmajor | $651 - $1,809 | 90% |
| Aetnamajor | $651 - $1,809 | 90% |
| Humanamajor | $1,357 | 188% |
| Ambetter (Centene) | $716 | 99% |
| CareSource | $651 | 90% |
| Molina | $626 | 87% |
| WellCare | $651 - $1,809 | 90% |
| + 2 smaller / regional plans | $633 - $651 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Estimate your out-of-pocket cost
A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
Other Procedures at Breckinridge Memorial Hospital
Compare: Injection procedure for pain management at other KY hospitals
- Baptist Health Deaconess Madisonville · Madisonville $643
- Norton Hospitals, Inc · Louisville $649
- Harrison Memorial Hospital · Cynthiana $659
- Deaconess Henderson Hospital · Henderson $668
- Uofl Health - Shelbyville Hospital · Shelbyville $682
- Uofl Health - Jewish Hospital and Mary & Elizabeth Hospital · Louisville $682
- University of Louisville Hospital · Louisville $682
- Saint Joseph East · Lexington $714
Insurance negotiated median for the same procedure, sorted lowest first.
Audit a Bill or Quote at Breckinridge Memorial Hospital (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $657
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 = $657).
Self-Pay Cash Rate ($905) Beats Your Bill
Breckinridge Memorial Hospital's published 45 CFR § 180 self-pay cash rate is $905 (vs. $1,809 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $599 Fair BaseRate ($721 Medicare)
Your bill ($1,809) is $1,210 above the denoised Fair BaseRate ($599) and 2.5× the $721 Medicare rate.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.