CMS Price Transparency Data

Injection procedure for pain management

Facility: Mary Hitchcock Memorial Hospital

Billing Code: G0260 (HCPCS)

The BaseRate · fair price high confidence

A fair price for this

$702

about 1.0× the $721 Medicare rate · typically $463–$1,244

modeled estimate · not a bill or quote

What this hospital charges insurers

$524

Below the fair price — a good deal

about $178 under the fair price · 0.7× Medicare

Medicare pays $721 Fair price $702 This hospital $524

How we calculate the fair BaseRate →

How this hospital compares to other NH hospitals

Lowest price of the 9 NH hospitals we have prices for — a strong deal.

Cheapest $524 Priciest $2,314

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

A fair price for a Injection procedure for pain management is about $702 (about 1.0× the $721 Medicare rate). Mary Hitchcock Memorial Hospital charges insurers about $524 — below the fair price — a good deal. Located in Lebanon, NH.

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	$775 - $7,726	107%
Blue Cross Blue Shieldmajor	$127 - $3,015	18%
Aetnamajor	$127 - $1,110	18%
Cignamajor	$124 - $2,619	17%
Ambetter (Centene)	$1,069 - $1,667	148%
AmeriHealth	$240	33%
Harvard Pilgrim	$118 - $2,881	16%
MVP Health Care	$790 - $1,984	110%
WellCare	$806	112%
WellSense	$127 - $814	18%
+ 4 smaller / regional plans	$240 - $775

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, 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 Mary Hitchcock Memorial 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 (%)

Enter your details and press estimate to compare.

Other Procedures at Mary Hitchcock Memorial Hospital

Compare: Injection procedure for pain management at other NH hospitals

Northeast Rehabilitation Hospital Network · Salem $660
Cheshire Medical Center · Keene $724
Speare Memorial Hospital · Plymouth $841
Elliot Hospital · Manchester $906
Monadnock Community Hospital · Peterborough $1,053
Catholic Medical Center · Manchester $1,351
Frisbie Memorial Hospital · Rochester $1,553
Parkland Medical Center · Derry $2,314

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