CMS Price Transparency Data

Injection procedure for pain management

Facility: Lehigh Valley Hospital - Macungie

Billing Code: G0260 (HCPCS)

The BaseRate · fair price high confidence

A fair price for this

$822

about 1.1× the $721 Medicare rate · typically $705–$1,100

modeled estimate · not a bill or quote

What this hospital charges insurers

$890

About the fair price

about $68 over the fair price · 1.2× Medicare

Medicare pays $721 Fair price $822 This hospital $890

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 $890

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 $822 (about 1.1× the $721 Medicare rate). Lehigh Valley Hospital - Macungie charges insurers about $890 — about the fair price. Located in Macungie, 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

✓ 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	$705 - $1,896	98%
Aetnamajor	$740 - $3,520	103%
Cignamajor	$726	101%
Humanamajor	$712	99%
Ambetter (Centene)	$2,138	296%
AmeriHealth	$329 - $726	46%
Geisinger	$726 - $3,099	101%
HealthPartners	$740 - $1,410	103%
UPMC Health Plan	$747 - $3,434	104%
+ 4 smaller / regional plans	$754 - $4,112

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, 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 Lehigh Valley Hospital - Macungie 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 Lehigh Valley Hospital - Macungie

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.