CMS Price Transparency Data

Injection procedure for pain management

Facility: UPMC Hanover

Billing Code: G0260 (HCPCS)

The BaseRate · fair price medium confidence

A fair price for this

$983

about 1.4× the $721 Medicare rate · typically $729–$2,362

modeled estimate · not a bill or quote

What this hospital charges insurers

$708

Below the fair price — a good deal

about $275 under the fair price · 1.0× Medicare

Medicare pays $721 Fair price $983 This hospital $708 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 $708

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 $983 (about 1.4× the $721 Medicare rate). UPMC Hanover charges insurers about $708, or about $2,647 in cash — below the fair price — a good deal. Located in Hanover, 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	$515 - $708	71%
Blue Cross Blue Shieldmajor	$655 - $3,750	91%
Aetnamajor	$690	96%
Cignamajor	$695 - $3,397	96%
Humanamajor	$662	92%
Geisinger	$695 - $3,187	96%
UPMC Health Plan	$1,486 - $3,088	206%
+ 5 smaller / regional plans	$714 - $3,838

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 Hanover 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 Hanover

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.