CMS Price Transparency Data

Injection procedure for pain management

Facility: St Charles Hospital

Billing Code: G0260 (HCPCS)

The BaseRate · fair price high confidence

A fair price for this

$842

about 1.2× the $721 Medicare rate · typically $601–$1,625

modeled estimate · not a bill or quote

What this hospital charges insurers

$820

About the fair price

about $22 under the fair price · 1.1× Medicare

Medicare pays $721 Fair price $842 This hospital $820 Hospital's list price $2,800

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 $820

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 $842 (about 1.2× the $721 Medicare rate). St Charles Hospital charges insurers about $820 — about the fair price. Located in Port Jefferson, NY.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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	$726 - $3,496	101%
Blue Cross Blue Shieldmajor	$803 - $3,488	111%
Aetnamajor	$820 - $4,663	114%
Cignamajor	$1,820 - $3,353	252%
Humanamajor	$836	116%
AmeriHealth	$1,844	256%
Cigna HealthSpring	$820	114%
Fidelis Care	$726 - $1,634	101%
Independent Health	$726 - $820	101%
MVP Health Care	$726 - $3,353	101%
Oscar Health	$1,148	159%
UniCare	$1,820	252%
WellCare	$901	125%
+ 44 smaller / regional plans	$109 - $5,269

Government programs also on file: Medicare, Medicaid, Military & VA.

Excludes 7 rental-network / third-party entries (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, 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 Charles 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 Charles Hospital

Compare: Injection procedure for pain management at other NY hospitals

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