CMS Price Transparency Data

Injection procedure for pain management

Facility: Southcoast Hospitals Group

Billing Code: G0260 (HCPCS)

The BaseRate · fair price high confidence

A fair price for this

$942

about 1.3× the $721 Medicare rate · typically $792–$1,246

modeled estimate · not a bill or quote

What this hospital charges insurers

$847

Below the fair price — a good deal

about $95 under the fair price · 1.2× Medicare

Medicare pays $721 Fair price $942 This hospital $847 Cash price $941 Hospital's list price $1,881

How we calculate the fair BaseRate →

How this hospital compares to other MA hospitals

A typical price — 5 charge more and 3 charge less, among the 9 MA hospitals compared.

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 $942 (about 1.3× the $721 Medicare rate). Southcoast Hospitals Group charges insurers about $847, or about $941 in cash — below the fair price — a good deal. Located in Fall River, MA.

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✓ Aetna✓ Cigna HumanaKaiser 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	$822 - $2,408	114%
Blue Cross Blue Shieldmajor	$822 - $1,389	114%
Aetnamajor	$822 - $1,431	114%
Cignamajor	$1,238	172%
Harvard Pilgrim	$1,137	158%
Priority Health	$1,129	157%
Tufts Health Plan	$412 - $822	57%
WellSense	$402 - $831	56%
+ 8 smaller / regional plans	$822 - $1,151

Government programs also on file: Medicare.

Excludes 2 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 941), 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 Southcoast Hospitals Group 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 Southcoast Hospitals Group

Compare: Injection procedure for pain management at other MA hospitals

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