CMS Price Transparency Data

Injection procedure for pain management

Facility: Elmhurst Hospital Center

Billing Code: G0260 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$829
about 1.1× the $721 Medicare rate · typically $686–$1,710
modeled estimate · not a bill or quote
What this hospital charges insurers
$694
Below the fair price — a good deal
about $135 under the fair price · 1.0× Medicare
Medicare pays $721 Fair price $829 This hospital $694

How we calculate the fair BaseRate →

How this hospital compares to other NY hospitals

On the higher side — 7 of 8 other NY hospitals charge less.

Cheapest $664 Priciest $703

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 $829 (about 1.1× the $721 Medicare rate). Elmhurst Hospital Center charges insurers about $694 — below the fair price — a good deal. Located in Elmhurst, NY.

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 $457 - $807 63%
Blue Cross Blue Shieldmajor $646 - $1,453 90%
Aetnamajor $820 114%
Fidelis Care $646 - $1,453 90%
Oscar Health $1,229 170%
+ 10 smaller / regional plans $164 - $1,639
Government programs also on file: Military & VA.

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Facility Profile & Credentials

  • Address: 79-01 Broadway, Elmhurst, NY 11373
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals