CMS Price Transparency Data

Injection procedure for pain management

Facility: Hackensack Meridian Health Pascack Valley Medical

Billing Code: G0260 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0260
Insurance Median: $951
Cash Discount Price: $949
vs. Medicare Baseline: 1.32x Medicare

The contracted insurance negotiated median rate for a Injection procedure for pain management at Hackensack Meridian Health Pascack Valley Medical is $951. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $949. Compared to the federal Medicare reimbursement reference rate of $721.17, this hospital’s rate is 1.32x the Medicare baseline. Located in 250 Old Hook Road, Westwood, NJ.

Cash / Self-Pay

$949

Average discount available for prompt cash payment at this facility.

Insurance Median

$951

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: $949 (132%)

Insurance Median: $951 (132%)

Cash: $949 (132% of Medicare)

Ins. Median: $951 (132% 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.

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
Healthscope Benefits [2290]	$188 - $282	26%
UnitedHealthcare	$188 - $561	26%
Medicaid / KanCare	$337 - $531	47%
Medicare (plans)	$418 - $626	58%
Aetna	$510 - $766	71%
Black Lung [6055]	$951 - $1,427	132%
Commercial Generic [1285]	$951 - $1,427	132%
Create Flex / Select [3580]	$951 - $1,427	132%
Healthcare Highways [2210]	$951 - $1,427	132%
Horizon [3625]	$951 - $1,427	132%
Lucent Health [6000]	$951 - $1,427	132%
Oncology Patient Assistance Programs [2295]	$951 - $1,427	132%
Selecthealth [3740]	$951 - $1,427	132%
Web Tpa [2115]	$951 - $1,427	132%
Worker's Comp [2125]	$951 - $1,427	132%
Wtc Healthcare Sme Karna [8005]	$951 - $1,427	132%
Qualcare [3725]	$1,946 - $3,376	270%
Emblem Health [2430]	$2,250 - $3,376	312%

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 $949.
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 Hackensack Meridian Health Pascack Valley Medical 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.