Injection procedure for pain management
Facility: Ohio Valley Surgical Hospital
Billing Code: G0260 (HCPCS)
- CPT Billing Code: G0260
- Insurance Median: $660
- Cash Discount Price: $563
- vs. Medicare Baseline: 0.92x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Understanding this gauge: We use the federal Medicare rate of $721.17 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Personify Health | $315 | 44% |
| Pacific Source | $315 | 44% |
| Nippon Life | $315 | 44% |
| Meritain | $315 | 44% |
| Meritain Heatlh | $315 | 44% |
| Genworth | $315 | 44% |
| Ngs Coresource | $315 | 44% |
| Mail Handlers | $315 | 44% |
| Geha | $315 | 44% |
| Aetna | $315 - $660 | 44% |
| Mhbp | $315 | 44% |
| Mmoh | $432 - $939 | 60% |
| Everest | $660 | 92% |
| Blue Cross Blue Shield | $660 - $1,032 | 92% |
| Communicare Advantage | $660 | 92% |
| Molina Dual McR | $660 | 92% |
| Molina Dual McR | $660 | 92% |
| Wraparound Pl Supp | $660 | 92% |
| Bankers Fidelity | $660 | 92% |
| Molina | $660 | 92% |
| Molina McR | $660 | 92% |
| Aarp Supplemental | $660 | 92% |
| Molina McR+McD | $660 | 92% |
| Humana | $660 | 92% |
| Aarp | $660 | 92% |
| Molina Marketplace | $660 | 92% |
| Self Pay Imaging | $660 | 92% |
| Central States | $660 | 92% |
| Molina McR McD | $660 | 92% |
| UnitedHealthcare | $660 - $1,849 | 92% |
| Bankers Life and Casualty | $660 | 92% |
| Medigold | $660 | 92% |
| American Republic | $660 | 92% |
| Patient No Pay | $660 | 92% |
| Wellcare By Allwell | $660 | 92% |
| American Retirement | $660 | 92% |
| Aultcare Primetime Health Plan | $660 | 92% |
| Gateway Health Plan | $660 | 92% |
| Champus | $660 | 92% |
| American Continental Life | $660 | 92% |
| American Continental Insurance | $660 | 92% |
| Prosperity Supplement | $660 | 92% |
| Medicare (plans) | $660 | 92% |
| Cigna | $660 - $1,033 | 92% |
| The Health Plan | $693 | 96% |
| Devoted Health | $725 | 101% |
| Employer Direct | $759 | 105% |
| Luminare Health | $939 | 130% |
| Medben | $939 | 130% |
| Preferred Health | $939 | 130% |
| Ohio Health | $939 | 130% |
| Medicaid / KanCare | $990 | 137% |
| Caresource | $990 | 137% |
| Caresourse | $990 | 137% |
| Samba | $1,033 | 143% |
| Healthgram | $1,033 | 143% |
| Unified Group | $1,033 | 143% |
| Nalc | $1,033 | 143% |
| Sbma | $1,033 | 143% |