CMS Price Transparency Data

Injection procedure for pain management

Facility: Jefferson Einstein Montgomery Hospital

Billing Code: G0260 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$814
about 1.1× the $721 Medicare rate · typically $643–$1,542
modeled estimate · not a bill or quote
What this hospital charges insurers
$960
Above the fair price
about $146 over the fair price · 1.3× Medicare
Medicare pays $721 Fair price $814 This hospital $960 Cash price $812

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 $960

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 $814 (about 1.1× the $721 Medicare rate). Jefferson Einstein Montgomery Hospital charges insurers about $960, or about $812 in cash — above the fair price. Located in East Norriton, 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 $814. 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 $699 - $2,020 97%
Blue Cross Blue Shieldmajor $720 100%
Aetnamajor $727 - $2,372 101%
Cignamajor $713 - $3,362 99%
Humanamajor $686 95%
Geisinger $788 - $2,794 109%
UPMC Health Plan $720 - $2,734 100%
WellCare $754 105%
+ 2 smaller / regional plans $727 - $8,218

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: 559 West Germantown Pike, East Norriton, PA 19403
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals