CMS Price Transparency Data

Injection procedure for pain management

Facility: Avita Ontario

Billing Code: G0260 (HCPCS)

The BaseRate · fair price high confidence

A fair price for this

$709

about 1.0× the $721 Medicare rate · typically $673–$1,113

modeled estimate · not a bill or quote

Medicare pays $721 Fair price $709 Cash price $1,517 Hospital's list price $1,785

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	$468 - $1,517	65%
Blue Cross Blue Shieldmajor	$468 - $3,518	65%
Aetnamajor	$468 - $3,588	65%
Cignamajor	$1,391	193%
Humanamajor	$468 - $3,518	65%
AmeriHealth	$561	78%
CareSource	$534	74%
Medical Mutual	$477 - $3,588	66%
Molina	$468 - $5,629	65%
+ 3 smaller / regional plans	$468 - $3,518

Government programs also on file: Medicare, Medicaid.

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 1,517), 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 Avita Ontario 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 Avita Ontario

Compare: Injection procedure for pain management at other OH hospitals

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