CMS Price Transparency Data

Injection procedure for pain management

Facility: Christus Santa Rosa Hospital-San Marcos

Billing Code: G0260 (HCPCS)

The BaseRate · fair price high confidence

A fair price for this

$941

about 1.3× the $721 Medicare rate · typically $637–$1,685

modeled estimate · not a bill or quote

What this hospital charges insurers

$737

Below the fair price — a good deal

about $204 under the fair price · 1.0× Medicare

Medicare pays $721 Fair price $941 This hospital $737

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 $737

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 $941 (about 1.3× the $721 Medicare rate). Christus Santa Rosa Hospital-San Marcos charges insurers about $737 — below the fair price — a good deal. Located in San Marcos, 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	$671 - $2,718	93%
Blue Cross Blue Shieldmajor	$750 - $1,569	104%
Aetnamajor	$685	95%
Cignamajor	$691 - $4,927	96%
Humanamajor	$671 - $3,730	93%
Amerigroup	$725	101%
Devoted Health	$725	101%
Healthcare Highways	$1,698	235%
WellCare	$671	93%
+ 6 smaller / regional plans	$671 - $1,148

Government programs also on file: Military & VA.

Excludes 1 rental-network / third-party entry (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, 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 Christus Santa Rosa Hospital-San Marcos 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 Christus Santa Rosa Hospital-San Marcos

Compare: Injection procedure for pain management at other TX hospitals

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