CMS Price Transparency Data

Injection procedure for pain management

Facility: UT of Texas Southwestern University Hospital - William P. Clements Jr.

Billing Code: G0260 (HCPCS)

The BaseRate · fair price high confidence

A fair price for this

$835

about 1.2× the $721 Medicare rate · typically $678–$1,553

modeled estimate · not a bill or quote

What this hospital charges insurers

$727

Below the fair price — a good deal

about $108 under the fair price · 1.0× Medicare

Medicare pays $721 Fair price $835 This hospital $727 Cash price $637 Hospital's list price $1,274

How we calculate the fair BaseRate →

How this hospital compares to other TX hospitals

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

Cheapest $339 Priciest $727

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

A fair price for a Injection procedure for pain management is about $835 (about 1.2× the $721 Medicare rate). UT of Texas Southwestern University Hospital - William P. Clements Jr. charges insurers about $727, or about $637 in cash — below the fair price — a good deal. Located in Dallas, TX.

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	$184 - $4,750	26%
Blue Cross Blue Shieldmajor	$136 - $727	19%
Aetnamajor	$130 - $891	18%
Cignamajor	$631 - $938	87%
Humanamajor	$720	100%
Molina	$199 - $727	28%
+ 7 smaller / regional plans	$184 - $892

Excludes 4 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 637), 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 UT of Texas Southwestern University Hospital - William P. Clements Jr. 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 UT of Texas Southwestern University Hospital - William P. Clements Jr.

Compare: Injection procedure for pain management at other TX hospitals

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