CMS Price Transparency Data

Injection procedure for pain management

Facility: St Joseph's University Medical Center Inc

Billing Code: G0260 (HCPCS)

The BaseRate · fair price high confidence

A fair price for this

$952

about 1.3× the $721 Medicare rate · typically $759–$1,916

modeled estimate · not a bill or quote

What this hospital charges insurers

$839

Below the fair price — a good deal

about $113 under the fair price · 1.2× Medicare

Medicare pays $721 Fair price $952 This hospital $839

How we calculate the fair BaseRate →

How this hospital compares to other NJ hospitals

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

Cheapest $736 Priciest $839

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

A fair price for a Injection procedure for pain management is about $952 (about 1.3× the $721 Medicare rate). St Joseph's University Medical Center Inc charges insurers about $839 — below the fair price — a good deal. Located in Paterson, NJ.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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	$839 - $2,284	116%
Blue Cross Blue Shieldmajor	$159 - $2,388	22%
Aetnamajor	$88 - $1,711	12%
Ambetter (Centene)	$1,258	174%
AmeriHealth	$839	116%
Clover Health	$839	116%
Fidelis Care	$881	122%
+ 4 smaller / regional plans	$839 - $1,484

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 St Joseph's University Medical Center Inc 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 St Joseph's University Medical Center Inc

Compare: Injection procedure for pain management at other NJ hospitals

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