CMS Price Transparency Data

Injection procedure for pain management

Facility: University of Michigan Health System

Billing Code: G0260 (HCPCS)

The BaseRate · fair price medium confidence

A fair price for this

$909

about 1.3× the $721 Medicare rate · typically $390–$2,005

modeled estimate · not a bill or quote

What this hospital charges insurers

$2,316

Well above the fair price

about $1,407 over the fair price · 3.2× Medicare

Medicare pays $721 Fair price $909 This hospital $2,316 Cash price $1,026 Hospital's list price $2,566

How we calculate the fair BaseRate →

How this hospital compares to other MI hospitals

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

Cheapest $369 Priciest $2,316

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

A fair price for a Injection procedure for pain management is about $909 (about 1.3× the $721 Medicare rate). University of Michigan Health System charges insurers about $2,316, or about $1,026 in cash — well above the fair price. Located in Ann Arbor, MI.

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 $909. 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.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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	$1,334 - $1,873	185%
Blue Cross Blue Shieldmajor	$1,227 - $2,316	170%
Aetnamajor	$1,473 - $1,801	204%
Health Net	$1,796	249%
Paramount	$2,130	295%
Priority Health	$1,180 - $2,727	164%
+ 11 smaller / regional plans	$1,103 - $2,181

Government programs also on file: Medicaid.

Excludes 3 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 1,026), 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 University of Michigan Health System 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 University of Michigan Health System

Compare: Injection procedure for pain management at other MI hospitals

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