CMS Price Transparency Data

Injection procedure for pain management

Facility: Jfk University Medical Center

Billing Code: G0260 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0260
Insurance Median: $1,995
Cash Discount Price: $730
vs. Medicare Baseline: 2.77x Medicare

The contracted insurance negotiated median rate for a Injection procedure for pain management at Jfk University Medical Center is $1,995. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $730. Compared to the federal Medicare reimbursement reference rate of $721.17, this hospital’s rate is 2.77x the Medicare baseline. Located in 65 James Street, Edison, NJ.

Cash / Self-Pay

$730

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,995

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$721.17

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $721.17 (100%)

Cash / Self-Pay: $730 (101%)

Insurance Median: $1,995 (277%)

Cash: $730 (101% of Medicare)

Ins. Median: $1,995 (277% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $721.17 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 277% of the Medicare baseline (a markup of 177%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Karna	$415	58%
Aetna	$443 - $4,025	61%
UnitedHealthcare	$473 - $5,482	66%
Clover	$495	69%
Seoul Medical Group	$591	82%
Amerigroup	$693 - $767	96%
Horizon	$693 - $8,615	96%
Vaccn	$693 - $767	96%
Wellcare	$693 - $767	96%
United Community/Americhoice	$727 - $806	101%
Blue Cross Blue Shield	$767	106%
Activecare First McO	$1,925	267%
Intergroup	$1,925	267%
Bergen Risk	$2,062	286%
Prime Health	$2,200	305%
Multiplan - PHCS	$2,338	324%
Cigna	$2,488	345%
Qualcare	$2,546	353%
Amerihealth	$2,602	361%
Oxford	$4,408	611%
Brighton Health Plan	$10,163	1409%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $730.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: G0260.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Jfk University Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for HCPCS code G0260.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.