CMS Price Transparency Data

Injection procedure for pain management

Facility: The Medical Center of Southeast Texas

Billing Code: G0260 (HCPCS)

The BaseRate · fair price high confidence

A fair price for this

$705

about 1.0× the $721 Medicare rate · typically $637–$887

modeled estimate · not a bill or quote

What this hospital charges insurers

$602

Below the fair price — a good deal

about $103 under the fair price · 0.8× Medicare

Medicare pays $721 Fair price $705 This hospital $602 Cash price $2,851 Hospital's list price $2,851

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 $602

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Injection procedure for pain management is about $705 (about 1.0× the $721 Medicare rate). The Medical Center of Southeast Texas charges insurers about $602, or about $2,851 in cash — below the fair price — a good deal. Located in Port Arthur, 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	$190 - $3,421	26%
Blue Cross Blue Shieldmajor	$641 - $3,421	89%
Aetnamajor	$1,323 - $2,258	183%
Cignamajor	$807 - $2,395	112%
Humanamajor	$581 - $2,258	81%
Amerigroup	$181 - $602	25%
Cigna HealthSpring	$602	83%
Molina	$190 - $826	26%
WellCare	$632	88%
+ 27 smaller / regional plans	$131 - $3,421

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

Excludes 7 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 2,851), 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 The Medical Center of Southeast Texas 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 The Medical Center of Southeast Texas

Compare: Injection procedure for pain management at other TX hospitals

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