CMS Price Transparency Data

Injection procedure for pain management

Facility: University Hospitals Samaritan Medical Center

Billing Code: G0260 (HCPCS)

The BaseRate · fair price high confidence

A fair price for this

$691

about 1.0× the $721 Medicare rate · typically $627–$906

modeled estimate · not a bill or quote

Medicare pays $721 Fair price $691 Cash price $241 Hospital's list price $321

How we calculate the fair BaseRate →

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	$296 - $598	41%
Blue Cross Blue Shieldmajor	$260 - $598	36%
Aetnamajor	$275 - $1,064	38%
Cignamajor	$180 - $598	25%
Humanamajor	$598	83%
Ambetter (Centene)	$1,076	149%
CareSource	$1,076	149%
Devoted Health	$598	83%
Health Net	$273	38%
Medical Mutual	$114 - $318	16%
Molina	$598	83%
Paramount	$616	85%
WellCare	$598	83%
+ 19 smaller / regional plans	$148 - $1,386

Excludes 5 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 (about 241), 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 University Hospitals Samaritan Medical 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 University Hospitals Samaritan Medical Center

Compare: Injection procedure for pain management at other OH hospitals

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