CMS Price Transparency Data

Injection procedure for pain management

Facility: Prisma Health Oconee Memorial Hospital

Billing Code: G0260 (HCPCS)

The BaseRate · fair price high confidence

A fair price for this

$754

about 1.0× the $721 Medicare rate · typically $696–$1,360

modeled estimate · not a bill or quote

What this hospital charges insurers

$755

About the fair price

about $1 over the fair price · 1.0× Medicare

Medicare pays $721 Fair price $754 This hospital $755 Cash price $1,801 Hospital's list price $2,770

How we calculate the fair BaseRate →

How this hospital compares to other SC hospitals

Highest price of the 9 SC hospitals we have prices for — worth calling around.

Cheapest $645 Priciest $755

Black dot = this hospital, among the 9 SC hospitals with a price for this procedure. Full list below.

A fair price for a Injection procedure for pain management is about $754 (about 1.0× the $721 Medicare rate). Prisma Health Oconee Memorial Hospital charges insurers about $755, or about $1,801 in cash — about the fair price. Located in Seneca, SC.

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	$427 - $3,424	59%
Blue Cross Blue Shieldmajor	$332 - $1,902	46%
Aetnamajor	$755 - $2,188	105%
Cignamajor	$719 - $1,922	100%
Humanamajor	$733 - $748	102%
Ambetter (Centene)	$1,323	183%
Molina	$791	110%
MVP Health Care	$1,922	267%
WellCare	$755	105%
+ 22 smaller / regional plans	$396 - $3,424

Government programs also on file: Medicare, Medicaid, Military & VA.

Excludes 5 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 1,801), 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 Prisma Health Oconee Memorial Hospital 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 Prisma Health Oconee Memorial Hospital

Compare: Injection procedure for pain management at other SC hospitals

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