CMS Price Transparency Data

Injection procedure for pain management

Facility: Montefiore St Luke's Cornwall

Billing Code: G0260 (HCPCS)

The BaseRate · fair price medium confidence

A fair price for this

$1,108

about 1.5× the $721 Medicare rate · typically $761–$3,458

modeled estimate · not a bill or quote

What this hospital charges insurers

$881

Below the fair price — a good deal

about $227 under the fair price · 1.2× Medicare

Medicare pays $721 Fair price $1,108 This hospital $881 Cash price $881

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 $881

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 $1,108 (about 1.5× the $721 Medicare rate). Montefiore St Luke's Cornwall charges insurers about $881, or about $881 in cash — below the fair price — a good deal. Located in Newburgh, 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✓ Humana CignaKaiser 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	$881 - $3,880	122%
Blue Cross Blue Shieldmajor	$472 - $3,713	65%
Aetnamajor	$872 - $2,552	121%
Humanamajor	$969	134%
CDPHP	$881 - $1,876	122%
Fidelis Care	$705 - $1,022	98%
GEHA	$2,552	354%
MagnaCare	$1,500 - $3,000	208%
Oscar Health	$881	122%
WellCare	$908	126%
+ 12 smaller / regional plans	$392 - $5,569

Government programs also on file: Medicaid.

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 881), 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 Montefiore St Luke's Cornwall 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 Montefiore St Luke's Cornwall

Compare: Injection procedure for pain management at other NY hospitals

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