CMS Price Transparency Data

Injection procedure for pain management

Facility: UPMC Somerset

Billing Code: G0260 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$671
about 0.9× the $721 Medicare rate · typically $477–$1,041
modeled estimate · not a bill or quote
What this hospital charges insurers
$667
About the fair price
about $4 under the fair price · 0.9× Medicare
Medicare pays $721 Fair price $671 This hospital $667 Cash price $2,647 Hospital's list price $4,412

How we calculate the fair BaseRate →

How this hospital compares to other PA hospitals

A typical price — 3 charge more and 4 charge less, among the 9 PA hospitals compared.

Cheapest $207 Priciest $673

Black dot = this hospital, among the 9 PA 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 $671 (about 0.9× the $721 Medicare rate). UPMC Somerset charges insurers about $667, or about $2,647 in cash — about the fair price. Located in Somerset, PA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser 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 $452 - $1,902 63%
Blue Cross Blue Shieldmajor $580 - $1,239 80%
Aetnamajor $1,765 245%
Humanamajor $3,309 459%
AmeriHealth $660 92%
Geisinger $1,737 - $2,427 241%
UPMC Health Plan $660 - $2,220 92%
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 225 South Center Avenue, Somerset, PA 15501
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals