CMS Price Transparency Data

Injection procedure for pain management

Facility: Southern Ohio Medical Center

Billing Code: G0260 (HCPCS)

The BaseRate · fair price high confidence

A fair price for this

$739

about 1.0× the $721 Medicare rate · typically $485–$1,000

modeled estimate · not a bill or quote

What this hospital charges insurers

$685

About the fair price

about $54 under the fair price · 1.0× Medicare

Medicare pays $721 Fair price $739 This hospital $685 Cash price $999 Hospital's list price $1,686

How we calculate the fair BaseRate →

How this hospital compares to other OH hospitals

Highest price of the 9 OH hospitals we have prices for — worth calling around.

Cheapest $303 Priciest $685

Black dot = this hospital, among the 9 OH hospitals with a price for this procedure. Full list below.

A fair price for a Injection procedure for pain management is about $739 (about 1.0× the $721 Medicare rate). Southern Ohio Medical Center charges insurers about $685, or about $999 in cash — about the fair price. Located in Portsmouth, OH.

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	$1,132	157%
Blue Cross Blue Shieldmajor	$442 - $1,003	61%
Aetnamajor	$668 - $990	93%
Cignamajor	$1,067	148%
Humanamajor	$442 - $1,093	61%
CareSource	$674 - $864	93%
Medical Mutual	$949 - $1,055	132%
Molina	$386 - $768	54%
+ 5 smaller / regional plans	$447 - $1,132

Excludes 2 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 999), 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 Southern Ohio 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 (%)

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Other Procedures at Southern Ohio Medical Center

Compare: Injection procedure for pain management at other OH hospitals

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