CMS Price Transparency Data

Injection procedure for pain management

Facility: UPMC Northwest

Billing Code: G0260 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$704
about 1.0× the $721 Medicare rate · typically $632–$937
modeled estimate · not a bill or quote
What this hospital charges insurers
$713
About the fair price
about $9 over the fair price · 1.0× Medicare
Medicare pays $721 Fair price $704 This hospital $713 Cash price $2,521 Hospital's list price $4,202

How we calculate the fair BaseRate →

How this hospital compares to other PA hospitals

Highest price of the 9 PA hospitals we have prices for — worth calling around.

Cheapest $207 Priciest $713

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 $704 (about 1.0× the $721 Medicare rate). UPMC Northwest charges insurers about $713, or about $2,521 in cash — about the fair price. Located in Seneca, PA.

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 $693 - $726 96%
Blue Cross Blue Shieldmajor $660 - $1,874 92%
Aetnamajor $680 - $2,731 94%
Cignamajor $1,681 - $2,731 233%
Humanamajor $3,572 495%
AmeriHealth $713 99%
UPMC Health Plan $599 - $1,798 83%
+ 4 smaller / regional plans $713 - $3,704
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 100 Fairfield Drive, Seneca, PA 16346
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals