CMS Price Transparency Data

Injection procedure for pain management

Facility: Essentia Health St Mary's Medical Center

Billing Code: G0260 (HCPCS)

The BaseRate · fair price high confidence

A fair price for this

$738

about 1.0× the $721 Medicare rate · typically $635–$803

modeled estimate · not a bill or quote

What this hospital charges insurers

$695

About the fair price

about $43 under the fair price · 1.0× Medicare

Medicare pays $721 Fair price $738 This hospital $695 Cash price $940 Hospital's list price $1,424

How we calculate the fair BaseRate →

How this hospital compares to other MN hospitals

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

Cheapest $441 Priciest $695

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

A fair price for a Injection procedure for pain management is about $738 (about 1.0× the $721 Medicare rate). Essentia Health St Mary's Medical Center charges insurers about $695, or about $940 in cash — about the fair price. Located in Duluth, MN.

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	$695 - $1,042	96%
Blue Cross Blue Shieldmajor	$629 - $1,595	87%
Aetnamajor	$1,210	168%
Cignamajor	$1,018	141%
HealthPartners	$567 - $1,018	79%
Medica	$471 - $870	65%
Sanford Health Plan	$611 - $1,226	85%
Security Health Plan	$695 - $1,096	96%
UCare	$695 - $937	96%
+ 15 smaller / regional plans	$629 - $1,225

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 940), 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 Essentia Health St Mary's 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 Essentia Health St Mary's Medical Center

Compare: Injection procedure for pain management at other MN hospitals

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