CMS Price Transparency Data

Injection procedure for pain management

Facility: Saratoga Hospital

Billing Code: G0260 (HCPCS)

The BaseRate · fair price medium confidence

A fair price for this

$848

about 1.2× the $721 Medicare rate · typically $448–$2,231

modeled estimate · not a bill or quote

What this hospital charges insurers

$828

About the fair price

about $20 under the fair price · 1.1× Medicare

Medicare pays $721 Fair price $848 This hospital $828 Cash price $1,418 Hospital's list price $2,836

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 $828

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 $848 (about 1.2× the $721 Medicare rate). Saratoga Hospital charges insurers about $828, or about $1,418 in cash — about the fair price. Located in Saratoga Springs, 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	$644 - $3,278	89%
Blue Cross Blue Shieldmajor	$644 - $2,185	89%
Aetnamajor	$836	116%
CDPHP	$644 - $3,274	89%
Fidelis Care	$390 - $1,448	54%
MagnaCare	$1,827 - $3,460	253%
MVP Health Care	$99 - $2,549	14%
+ 3 smaller / regional plans	$820 - $2,185

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 1,418), 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 Saratoga 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 (%)

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Other Procedures at Saratoga Hospital

Compare: Injection procedure for pain management at other NY hospitals

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