CMS Price Transparency Data
Injection procedure for pain management
Facility: Centrastate Medical Center
Billing Code: G0260 (HCPCS)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: G0260
- Insurance Median: $804
- Cash Discount Price: $924
- vs. Medicare Baseline: 1.11x Medicare
The contracted insurance negotiated median rate for a Injection procedure for pain management at Centrastate Medical Center is $804. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $924. Compared to the federal Medicare reimbursement reference rate of $721.17, this hospital’s rate is 1.11x the Medicare baseline. Located in 901 West Main Street, Freehold, NJ.
Cash / Self-Pay
$924
Average discount available for prompt cash payment at this facility.
Insurance Median
$804
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: $924 (128%)
Insurance Median: $804 (111%)
Cash: $924 (128% of Medicare)
Ins. Median: $804 (111% 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.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Wtc Health Program [5273] | $104 | 14% |
| Fairos [5491] | $767 | 106% |
| Us Marshall Service [5429] | $767 | 106% |
| Aetna | $804 - $1,125 | 111% |
| Ambetter / Centene | $804 | 111% |
| Amerihealth Administrators Supplemental [5512] | $804 | 111% |
| Amerihealth Medigap [5049] | $804 | 111% |
| Blue Cross Blue Shield | $804 | 111% |
| Champva [5354] | $804 | 111% |
| Cigna | $804 - $2,676 | 111% |
| Claim Watcher/Homestead [5488] | $804 | 111% |
| Claimdoc [5434] | $804 | 111% |
| Compassionate Care [5442] | $804 | 111% |
| Cosmetic Surgery/Lap Band/Gastric Bypass [5289] | $804 | 111% |
| Cs Card Rehab Cash Pay [5497] | $804 | 111% |
| Cs Nutrition Consult-Initial and Follow Up [5493] | $804 | 111% |
| Cs Pulmonary Rehab Cash Pay [5496] | $804 | 111% |
| Cs Radiology Cash Pay [5498] | $804 | 111% |
| Cs Rehab Cash Pay [5495] | $804 | 111% |
| Cs Sports Performance Eval and Visits [5494] | $804 | 111% |
| Highmark Wholecare Health Plan Ip Splits [5464] | $804 | 111% |
| Highmark Wholecare Health Plan [5413] | $804 | 111% |
| Medicaid / KanCare | $804 | 111% |
| Medicare (plans) | $804 - $832 | 111% |
| Sedgwick Wtc Health Program Wc [5514] | $804 | 111% |
| Specialty Imaging [5433] | $804 | 111% |
| Tricare | $804 | 111% |
| UPMC [5455] | $804 | 111% |
| Us Family Health Plan [5258] | $804 | 111% |
| VA Community Care Network [5403] | $804 | 111% |
| Wellcare Behavioral Health [5335] | $804 | 111% |
| Wellcare Health Plans Ip Splits [5475] | $804 | 111% |
| Wellcare Health Plans [5269] | $804 | 111% |
| Amerihealth Caritas Vip Care Ip Splits [5460] | $812 | 113% |
| Amerihealth Caritas Vip Care [5313] | $812 | 113% |
| Horizon Nj Health [5021] | $2,146 | 298% |
| Evolution Healthcare [5438] | $2,433 | 337% |
| Healthez [5445] | $2,433 | 337% |
| Mvp Health Care [5197] | $2,433 | 337% |
| Nalc [5198] | $2,433 | 337% |
| Seafarers Health and Benefits Plan [5343] | $2,433 | 337% |
| Tufts Health Plan [5344] | $2,433 | 337% |
| Webtpa [5447] | $2,433 | 337% |
| Allied Benefit Systems [5046] | $2,676 | 371% |
| Centivo [5405] | $2,676 | 371% |
| Iaa - Insurance Administrators of America [5482] | $2,676 | 371% |
| Oxford Behavioral Health [5291] | $3,040 | 422% |
| Oxford [5024] | $3,040 | 422% |
| UnitedHealthcare | $3,040 - $3,133 | 422% |
| Apwu Healthcare [5053] | $3,133 | 434% |
| Geha [5119] | $3,133 | 434% |
| Golden Rule Insurance [5124] | $3,133 | 434% |
| Harvard Pilgrim Healthcare [5133] | $3,133 | 434% |
| Ntca [5208] | $3,133 | 434% |
| Surest [5437] | $3,133 | 434% |
| Amerihealth [5008] | $4,096 | 568% |
| Kessler Foundation [5532] | $12,000 | 1664% |