CMS Price Transparency Data

Injection procedure for pain management

Facility: Metropolitan Hospital Center

Billing Code: G0260 (HCPCS)

The BaseRate · fair price high confidence

A fair price for this

$825

about 1.1× the $721 Medicare rate · typically $678–$1,778

modeled estimate · not a bill or quote

What this hospital charges insurers

$664

Below the fair price — a good deal

about $161 under the fair price · 0.9× Medicare

Medicare pays $721 Fair price $825 This hospital $664

How we calculate the fair BaseRate →

How this hospital compares to other NY hospitals

Lowest price of the 9 NY hospitals we have prices for — a strong deal.

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 $825 (about 1.1× the $721 Medicare rate). Metropolitan Hospital Center charges insurers about $664 — below the fair price — a good deal. Located in New York, 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 - $805	63%
Blue Cross Blue Shieldmajor	$644 - $1,449	89%
Aetnamajor	$820	114%
Fidelis Care	$644 - $1,449	89%
Oscar Health	$1,229	170%
+ 10 smaller / regional plans	$164 - $1,639

Government programs also on file: Military & VA.

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, 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 Metropolitan Hospital 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 Metropolitan Hospital Center

Compare: Injection procedure for pain management at other NY hospitals

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