CMS Price Transparency Data

Injection procedure for pain management

Facility: St Mary Medical Center

Billing Code: G0260 (HCPCS)

The BaseRate · fair price high confidence

A fair price for this

$783

about 1.1× the $721 Medicare rate · typically $633–$1,591

modeled estimate · not a bill or quote

What this hospital charges insurers

$503

Below the fair price — a good deal

about $280 under the fair price · 0.7× Medicare

Medicare pays $721 Fair price $783 This hospital $503 Cash price $1,600 Hospital's list price $2,462

How we calculate the fair BaseRate →

How this hospital compares to other PA hospitals

One of the lower prices — 5 of 8 other PA hospitals charge more for the same procedure.

Cheapest $207 Priciest $673

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 $783 (about 1.1× the $721 Medicare rate). St Mary Medical Center charges insurers about $503, or about $1,600 in cash — below the fair price — a good deal. Located in Langhorne, PA.

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	$953 - $3,742	132%
Blue Cross Blue Shieldmajor	$207 - $1,129	29%
Aetnamajor	$89 - $805	12%
Cignamajor	$384 - $768	53%
Ambetter (Centene)	$136	19%
AmeriHealth	$503	70%
GEHA	$3,742	519%
Oscar Health	$1,370	190%
UPMC Health Plan	$448	62%
+ 9 smaller / regional plans	$147 - $1,484

Government programs also on file: Medicare, Medicaid.

Excludes 6 rental-network / third-party entries (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 1,600), 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 St Mary Medical Center 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 St Mary Medical Center

Compare: Injection procedure for pain management at other PA hospitals

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