CMS Price Transparency Data

Injection procedure for pain management

Facility: AHS Hospital Corp

Billing Code: G0260 (HCPCS)

The BaseRate · fair price high confidence

A fair price for this

$945

about 1.3× the $721 Medicare rate · typically $690–$1,839

modeled estimate · not a bill or quote

What this hospital charges insurers

$757

Below the fair price — a good deal

about $188 under the fair price · 1.0× Medicare

Medicare pays $721 Fair price $945 This hospital $757 Cash price $873 Hospital's list price $4,730

How we calculate the fair BaseRate →

How this hospital compares to other NJ hospitals

One of the lower prices — 7 of 8 other NJ hospitals charge more for the same procedure.

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 $945 (about 1.3× the $721 Medicare rate). AHS Hospital Corp charges insurers about $757, or about $873 in cash — below the fair price — a good deal. Located in Hackettstown, NJ.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser 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	$3,040 - $3,133	422%
Blue Cross Blue Shieldmajor	$504 - $3,577	70%
Aetnamajor	$604 - $1,059	84%
Cignamajor	$757 - $2,676	105%
Humanamajor	$2,870	398%
Kaiser Permanentemajor	$2,870	398%
Ambetter (Centene)	$757	105%
AmeriHealth	$757 - $4,096	105%
GEHA	$3,133	434%
Harvard Pilgrim	$3,133	434%
Health Net	$2,610 - $4,436	362%
MagnaCare	$2,610 - $4,175	362%
MVP Health Care	$2,433	337%
Oscar Health	$2,870	398%
Tufts Health Plan	$2,433	337%
UPMC Health Plan	$757	105%
WellCare	$757	105%
+ 70 smaller / regional plans	$106 - $5,219

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

Excludes 22 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 873), 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 AHS Hospital Corp 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 AHS Hospital Corp

Compare: Injection procedure for pain management at other NJ hospitals

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