CMS Price Transparency Data

Injection procedure for pain management

Facility: UPMC Memorial

Billing Code: G0260 (HCPCS)

The BaseRate · fair price high confidence

A fair price for this

$926

about 1.3× the $721 Medicare rate · typically $728–$2,162

modeled estimate · not a bill or quote

What this hospital charges insurers

$1,274

Above the fair price

about $348 over the fair price · 1.8× Medicare

Medicare pays $721 Fair price $926 This hospital $1,274 Cash price $2,647 Hospital's list price $4,412

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 $1,274

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

A fair price for a Injection procedure for pain management is about $926 (about 1.3× the $721 Medicare rate). UPMC Memorial charges insurers about $1,274, or about $2,647 in cash — above the fair price. Located in York, PA.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $926. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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✓ Cigna HumanaKaiser 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	$515 - $711	71%
Blue Cross Blue Shieldmajor	$478 - $4,173	66%
Aetnamajor	$693 - $2,506	96%
Cignamajor	$697 - $3,397	97%
Geisinger	$697 - $3,187	97%
UPMC Health Plan	$1,486 - $3,088	206%
+ 4 smaller / regional plans	$728 - $4,173

Excludes 1 rental-network / third-party entry (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 2,647), 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 UPMC Memorial 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 UPMC Memorial

Compare: Injection procedure for pain management at other PA hospitals

Magee Memorial Hospital for Convalescents · Philadelphia $207
St Mary Medical Center · Langhorne $503
UPMC Muncy · Muncy $503
UPMC Wellsboro · Wellsboro $503
UPMC Somerset · Somerset $667
UPMC Greene · Waynesburg $667
Advanced Surgical Hospital · Washington $671
Washington Hospital, The · Washington $673

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