CMS Price Transparency Data

Injection procedure for pain management

Facility: Newton Medical Center

Billing Code: G0260 (HCPCS)

The BaseRate · fair price high confidence

A fair price for this

$975

about 1.4× the $721 Medicare rate · typically $755–$2,189

modeled estimate · not a bill or quote

What this hospital charges insurers

$804

Below the fair price — a good deal

about $171 under the fair price · 1.1× Medicare

Medicare pays $721 Fair price $975 This hospital $804 Cash price $780 Hospital's list price $3,739

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 $804

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 $975 (about 1.4× the $721 Medicare rate). Newton Medical Center charges insurers about $804, or about $780 in cash — below the fair price — a good deal. Located in Newton, NJ.

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

✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser Permanente UnitedHealthcare

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
Blue Cross Blue Shieldmajor	$201 - $11,952	28%
Aetnamajor	$241 - $1,125	33%
Cignamajor	$757 - $804	105%
Humanamajor	$1,647	228%
Kaiser Permanentemajor	$1,647	228%
Ambetter (Centene)	$757 - $804	105%
AmeriHealth	$757 - $4,096	105%
Health Net	$1,497 - $2,545	208%
MagnaCare	$1,497 - $2,246	208%
Oscar Health	$1,647	228%
UPMC Health Plan	$757 - $804	105%
WellCare	$757 - $804	105%
+ 59 smaller / regional plans	$106 - $12,000

Government programs also on file: Medicare, Medicaid, Military & VA.

Excludes 21 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 780), 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 Newton 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 Newton Medical Center

Compare: Injection procedure for pain management at other NJ hospitals

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