CMS Price Transparency Data

Injection procedure for pain management

Facility: Albany Medical Center Hospital

Billing Code: G0260 (HCPCS)

The BaseRate · fair price medium confidence

A fair price for this

$805

about 1.1× the $721 Medicare rate · typically $451–$2,152

modeled estimate · not a bill or quote

What this hospital charges insurers

$1,205

Above the fair price

about $400 over the fair price · 1.7× Medicare

Medicare pays $721 Fair price $805 This hospital $1,205 Cash price $657 Hospital's list price $1,315

How we calculate the fair BaseRate →

How this hospital compares to other NY hospitals

Highest price of the 9 NY hospitals we have prices for — worth calling around.

Cheapest $664 Priciest $1,205

Black dot = this hospital, among the 9 NY hospitals with a price for this procedure. Full list below.

A fair price for a Injection procedure for pain management is about $805 (about 1.1× the $721 Medicare rate). Albany Medical Center Hospital charges insurers about $1,205, or about $657 in cash — above the fair price. Located in Albany, NY.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $805. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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	$304 - $1,779	42%
Blue Cross Blue Shieldmajor	$223 - $4,765	31%
Aetnamajor	$860	119%
CDPHP	$641 - $1,442	89%
Fidelis Care	$901 - $1,442	125%
MagnaCare	$325 - $1,779	45%
MVP Health Care	$304 - $1,668	42%
+ 4 smaller / regional plans	$243 - $6,040

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 657), 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 Albany Medical Center Hospital 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 Albany Medical Center Hospital

Compare: Injection procedure for pain management at other NY hospitals

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