CMS Price Transparency Data

Injection procedure for pain management

Facility: Fort Loudoun Medical Center

Billing Code: G0260 (HCPCS)

The BaseRate · fair price high confidence

A fair price for this

$673

about 0.9× the $721 Medicare rate · typically $660–$871

modeled estimate · not a bill or quote

What this hospital charges insurers

$664

About the fair price

about $9 under the fair price · 0.9× Medicare

Medicare pays $721 Fair price $673 This hospital $664 Cash price $499 Hospital's list price $1,559

How we calculate the fair BaseRate →

How this hospital compares to other TN hospitals

A typical price — 0 charge more and 5 charge less, among the 9 TN hospitals compared.

Cheapest $359 Priciest $664

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

A fair price for a Injection procedure for pain management is about $673 (about 0.9× the $721 Medicare rate). Fort Loudoun Medical Center charges insurers about $664, or about $499 in cash — about the fair price. Located in Lenoir City, TN.

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	$432 - $1,465	60%
Blue Cross Blue Shieldmajor	$664 - $2,244	92%
Aetnamajor	$664 - $1,285	92%
Cignamajor	$664 - $1,737	92%
Humanamajor	$651	90%
Ambetter (Centene)	$9,628	1335%
Devoted Health	$664	92%
WellCare	$664	92%
+ 10 smaller / regional plans	$468 - $914

Government programs also on file: Military & VA.

Excludes 3 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 499), 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 Fort Loudoun 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 Fort Loudoun Medical Center

Compare: Injection procedure for pain management at other TN hospitals

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