CMS Price Transparency Data

Injection procedure for pain management

Facility: Covenant Medical Center

Billing Code: G0260 (HCPCS)

The BaseRate · fair price high confidence

A fair price for this

$552

about 0.8× the $721 Medicare rate · typically $444–$704

modeled estimate · not a bill or quote

What this hospital charges insurers

$377

Below the fair price — a good deal

about $175 under the fair price · 0.5× Medicare

Medicare pays $721 Fair price $552 This hospital $377 Cash price $1,189 Hospital's list price $1,699

How we calculate the fair BaseRate →

How this hospital compares to other MI hospitals

One of the lower prices — 7 of 8 other MI hospitals charge more for the same procedure.

Cheapest $369 Priciest $675

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Injection procedure for pain management is about $552 (about 0.8× the $721 Medicare rate). Covenant Medical Center charges insurers about $377, or about $1,189 in cash — below the fair price — a good deal. Located in Saginaw, MI.

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

✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana UnitedHealthcareKaiser 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
Blue Cross Blue Shieldmajor	$87 - $901	12%
Aetnamajor	$166 - $1,300	23%
Cignamajor	$934	130%
Humanamajor	$166 - $1,274	23%
Meridian	$87 - $377	12%
Molina	$87 - $721	12%
Priority Health	$87 - $934	12%
+ 7 smaller / regional plans	$87 - $1,392

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 1,189), 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 Covenant Medical Center 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 Covenant Medical Center

Compare: Injection procedure for pain management at other MI hospitals

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