CMS Price Transparency Data

Injection procedure for pain management

Facility: UPMC St Margaret

Billing Code: G0260 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$746
about 1.0× the $721 Medicare rate · typically $578–$1,005
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,022
Above the fair price
about $276 over the fair price · 1.4× Medicare
Medicare pays $721 Fair price $746 This hospital $1,022 Cash price $2,299 Hospital's list price $3,831

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 $1,022

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 $746 (about 1.0× the $721 Medicare rate). UPMC St Margaret charges insurers about $1,022, or about $2,299 in cash — above the fair price. Located in Pittsburgh, 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 $746. 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

✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana UnitedHealthcareKaiser 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
Blue Cross Blue Shieldmajor $592 - $3,529 82%
Aetnamajor $671 - $2,000 93%
Cignamajor $745 - $2,000 103%
Humanamajor $2,262 - $4,251 314%
UPMC Health Plan $570 - $1,824 79%
+ 3 smaller / regional plans $713 - $4,001
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

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 815 Freeport Road, Pittsburgh, PA 15215
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals