CMS Price Transparency Data

Injection procedure for pain management

Facility: Boston Medical Center-Brighton

Billing Code: G0260 (HCPCS)

The BaseRate · fair price high confidence

A fair price for this

$1,042

about 1.4× the $721 Medicare rate · typically $765–$1,828

modeled estimate · not a bill or quote

What this hospital charges insurers

$846

Below the fair price — a good deal

about $196 under the fair price · 1.2× Medicare

Medicare pays $721 Fair price $1,042 This hospital $846 Cash price $1,008 Hospital's list price $2,241

How we calculate the fair BaseRate →

How this hospital compares to other MA hospitals

One of the lower prices — 6 of 8 other MA hospitals charge more for the same procedure.

Cheapest $585 Priciest $1,002

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

A fair price for a Injection procedure for pain management is about $1,042 (about 1.4× the $721 Medicare rate). Boston Medical Center-Brighton charges insurers about $846, or about $1,008 in cash — below the fair price — a good deal. Located in Brighton, MA.

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	$846	117%
Blue Cross Blue Shieldmajor	$685 - $1,681	95%
Aetnamajor	$846 - $1,639	117%
Cignamajor	$2,352	326%
Humanamajor	$846	117%
Harvard Pilgrim	$585	81%
Tufts Health Plan	$2,072 - $2,352	287%
UniCare	$1,681	233%
+ 13 smaller / regional plans	$475 - $1,697

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

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 1,008), 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 Boston Medical Center-Brighton 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 Boston Medical Center-Brighton

Compare: Injection procedure for pain management at other MA hospitals

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