CMS Price Transparency Data

Injection procedure for pain management

Facility: Sunrise Hospital and Medical Center

Billing Code: G0260 (HCPCS)

The BaseRate · fair price high confidence

A fair price for this

$789

about 1.1× the $721 Medicare rate · typically $674–$1,524

modeled estimate · not a bill or quote

Medicare pays $721 Fair price $789 Cash price $216 Hospital's list price $216

How we calculate the fair BaseRate →

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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	$460 - $2,086	64%
Blue Cross Blue Shieldmajor	$107 - $3,720	15%
Aetnamajor	$166 - $1,706	23%
Ambetter (Centene)	$2,213	307%
CareSource	$269	37%
Molina	$259 - $269	36%
SelectHealth	$332 - $393	46%
+ 6 smaller / regional plans	$213 - $4,260

Excludes 1 rental-network / third-party entry (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 216), 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 Sunrise Hospital and 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 Sunrise Hospital and Medical Center

Compare: Injection procedure for pain management at other NV hospitals

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