CMS Price Transparency Data

Injection procedure for pain management

Facility: Saint Alphonsus Medical Center Ontario

Billing Code: G0260 (HCPCS)

The BaseRate · fair price medium confidence

A fair price for this

$1,103

about 1.5× the $721 Medicare rate · typically $368–$1,693

modeled estimate · not a bill or quote

What this hospital charges insurers

$363

Below the fair price — a good deal

about $740 under the fair price · 0.5× Medicare

Medicare pays $721 Fair price $1,103 This hospital $363 Cash price $1,972 Hospital's list price $3,034

How we calculate the fair BaseRate →

How this hospital compares to other OR hospitals

Lowest price of the 9 OR hospitals we have prices for — a strong deal.

Cheapest $363 Priciest $1,495

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Injection procedure for pain management is about $1,103 (about 1.5× the $721 Medicare rate). Saint Alphonsus Medical Center Ontario charges insurers about $363, or about $1,972 in cash — below the fair price — a good deal. Located in Ontario, OR.

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	$728 - $3,495	101%
Blue Cross Blue Shieldmajor	$728 - $3,095	101%
Aetnamajor	$728 - $3,448	101%
Cignamajor	$728 - $3,423	101%
Humanamajor	$728 - $1,092	101%
Ambetter (Centene)	$728 - $1,092	101%
Dean Health Plan	$2,184 - $3,277	303%
GEHA	$2,298 - $3,495	319%
Health Net	$728 - $3,058	101%
HealthPartners	$728 - $2,840	101%
Meridian	$728 - $1,092	101%
Moda Health	$135 - $3,532	19%
Molina	$728 - $1,092	101%
PacificSource	$1,456 - $3,423	202%
Paramount	$728 - $3,277	101%
Presbyterian	$728 - $1,092	101%
Priority Health	$2,281 - $3,423	316%
SelectHealth	$152 - $3,277	21%
Tufts Health Plan	$728 - $1,092	101%
WellSense	$728 - $1,092	101%
+ 90 smaller / regional plans	$728 - $3,459

Government programs also on file: Medicare, Medicaid.

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 1,972), 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 Saint Alphonsus Medical Center 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 Saint Alphonsus Medical Center Ontario

Compare: Injection procedure for pain management at other OR hospitals

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