CMS Price Transparency Data

Injection procedure for pain management

Facility: Guadalupe Regional Medical Center

Billing Code: G0260 (HCPCS)

The BaseRate · fair price high confidence

A fair price for this

$804

about 1.1× the $721 Medicare rate · typically $633–$1,480

modeled estimate · not a bill or quote

What this hospital charges insurers

$659

Below the fair price — a good deal

about $145 under the fair price · 0.9× Medicare

Medicare pays $721 Fair price $804 This hospital $659 Cash price $1,198 Hospital's list price $2,396

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 $659

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 $804 (about 1.1× the $721 Medicare rate). Guadalupe Regional Medical Center charges insurers about $659, or about $1,198 in cash — below the fair price — a good deal. Located in Seguin, TX.

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

✓ UnitedHealthcare✓ Aetna✓ Cigna✓ Humana Blue Cross Blue ShieldKaiser 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	$1,797	249%
Aetnamajor	$659 - $2,037	91%
Cignamajor	$2,156	299%
Humanamajor	$2,037	282%
Clover Health	$659	91%
Healthcare Highways	$1,797	249%
Oscar Health	$659	91%
WellCare	$659	91%
+ 4 smaller / regional plans	$659 - $2,156

Government programs also on file: Military & VA.

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 1,198), 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 Guadalupe Regional 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 Guadalupe Regional Medical Center

Compare: Injection procedure for pain management at other TX hospitals

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