CMS Price Transparency Data

Injection procedure for pain management

Facility: St John's Riverside Hospital

Billing Code: G0260 (HCPCS)

The BaseRate · fair price medium confidence

A fair price for this

$888

about 1.2× the $721 Medicare rate · typically $707–$2,365

modeled estimate · not a bill or quote

What this hospital charges insurers

$877

About the fair price

about $11 under the fair price · 1.2× Medicare

Medicare pays $721 Fair price $888 This hospital $877 Cash price $2,539 Hospital's list price $2,987

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 $877

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 $888 (about 1.2× the $721 Medicare rate). St John's Riverside Hospital charges insurers about $877, or about $2,539 in cash — about the fair price. Located in Yonkers, NY.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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	$877	122%
Blue Cross Blue Shieldmajor	$1,465	203%
Aetnamajor	$877 - $3,783	122%
Cignamajor	$2,086	289%
Fidelis Care	$745 - $877	103%
MagnaCare	$877	122%
MVP Health Care	$877 - $3,639	122%
Oscar Health	$877 - $921	122%
WellCare	$877	122%
+ 7 smaller / regional plans	$877 - $1,465

Government programs also on file: Medicare, Medicaid.

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 2,539), 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 St John's Riverside 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 St John's Riverside Hospital

Compare: Injection procedure for pain management at other NY hospitals

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