CMS Price Transparency Data

Injection procedure for pain management

Facility: Galion Community Hospital

Billing Code: G0260 (HCPCS)

The BaseRate · fair price medium confidence

A fair price for this

$688

about 1.0× the $721 Medicare rate · typically $306–$1,232

modeled estimate · not a bill or quote

What this hospital charges insurers

$545

Below the fair price — a good deal

about $143 under the fair price · 0.8× Medicare

Medicare pays $721 Fair price $688 This hospital $545 Cash price $1,517 Hospital's list price $1,785

How we calculate the fair BaseRate →

How this hospital compares to other OH hospitals

A typical price — 3 charge more and 5 charge less, among the 9 OH hospitals compared.

Cheapest $303 Priciest $640

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 $688 (about 1.0× the $721 Medicare rate). Galion Community Hospital charges insurers about $545, or about $1,517 in cash — below the fair price — a good deal. Located in Galion, 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	$561 - $4,142	78%
Blue Cross Blue Shieldmajor	$550 - $4,142	76%
Aetnamajor	$619 - $4,224	86%
Cignamajor	$1,571	218%
Humanamajor	$578 - $4,142	80%
AmeriHealth	$561	78%
CareSource	$534	74%
Medical Mutual	$1,428 - $4,224	198%
Molina	$545 - $5,629	76%
+ 3 smaller / regional plans	$534 - $4,142

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 Galion Community Hospital 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 Galion Community Hospital

Compare: Injection procedure for pain management at other OH hospitals

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