CMS Price Transparency Data

Injection procedure for pain management

Facility: St Clair Hospital

Billing Code: G0260 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$665
about 0.9× the $721 Medicare rate · typically $567–$996
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,538
Well above the fair price
about $873 over the fair price · 2.1× Medicare
Medicare pays $721 Fair price $665 This hospital $1,538 Cash price $567 Hospital's list price $2,284

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 $1,538

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 $665 (about 0.9× the $721 Medicare rate). St Clair Hospital charges insurers about $1,538, or about $567 in cash — well 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 $665. 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.

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 $688 - $2,256 95%
Blue Cross Blue Shieldmajor $613 - $1,538 85%
Aetnamajor $708 - $1,843 98%
Cignamajor $715 - $1,578 99%
Humanamajor $688 95%
AmeriHealth $688 95%
Geisinger $708 98%
HealthPartners $722 100%
UPMC Health Plan $688 - $974 95%
+ 3 smaller / regional plans $715 - $1,650

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: 1000 Bower Hill Road, Pittsburgh, PA 15243
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals