CMS Price Transparency Data

Injection procedure for pain management

Facility: North Carolina Baptist Hospital

Billing Code: G0260 (HCPCS)

The BaseRate · fair price high confidence

A fair price for this

$670

about 0.9× the $721 Medicare rate · typically $670–$988

modeled estimate · not a bill or quote

What this hospital charges insurers

$670

About the fair price

0.9× Medicare

Medicare pays $721 Fair price $670 This hospital $670 Cash price $1,569 Hospital's list price $3,138

How we calculate the fair BaseRate →

How this hospital compares to other NC hospitals

A typical price — 4 charge more and 4 charge less, among the 9 NC hospitals compared.

Cheapest $584 Priciest $681

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

A fair price for a Injection procedure for pain management is about $670 (about 0.9× the $721 Medicare rate). North Carolina Baptist Hospital charges insurers about $670, or about $1,569 in cash — about the fair price. Located in Winston-Salem, NC.

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	$670 - $4,086	93%
Blue Cross Blue Shieldmajor	$514 - $881	71%
Aetnamajor	$670 - $2,739	93%
Cignamajor	$670 - $1,933	93%
Humanamajor	$677 - $1,762	94%
Ambetter (Centene)	$825 - $870	114%
AmeriHealth	$690 - $868	96%
Devoted Health	$670	93%
Oscar Health	$916 - $1,160	127%
WellCare	$670 - $738	93%
+ 13 smaller / regional plans	$670 - $2,578

Government programs also on file: Medicare.

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 1,569), 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 North Carolina Baptist Hospital 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 (%)

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Other Procedures at North Carolina Baptist Hospital

Compare: Injection procedure for pain management at other NC hospitals

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