CMS Price Transparency Data

Injection procedure for pain management

Facility: SSM St Joseph Health Center

Billing Code: G0260 (HCPCS)

The BaseRate · fair price medium confidence

A fair price for this

$947

about 1.3× the $721 Medicare rate · typically $746–$3,520

modeled estimate · not a bill or quote

What this hospital charges insurers

$1,444

Above the fair price

about $497 over the fair price · 2.0× Medicare

Medicare pays $721 Fair price $947 This hospital $1,444 Cash price $3,218 Hospital's list price $5,850

How we calculate the fair BaseRate →

How this hospital compares to other MO hospitals

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

Cheapest $590 Priciest $1,444

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

A fair price for a Injection procedure for pain management is about $947 (about 1.3× the $721 Medicare rate). SSM St Joseph Health Center charges insurers about $1,444, or about $3,218 in cash — above the fair price. Located in Saint Charles, MO.

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 $947. 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.

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	$717 - $2,087	99%
Blue Cross Blue Shieldmajor	$718	100%
Aetnamajor	$707 - $2,414	98%
Cignamajor	$2,004	278%
Humanamajor	$719	100%
HealthLink	$1,216 - $2,024	169%
Oscar Health	$848 - $3,886	118%

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 3,218), 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 SSM St Joseph Health 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 SSM St Joseph Health Center

Compare: Injection procedure for pain management at other MO hospitals

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