CMS Price Transparency Data

Injection procedure for pain management

Facility: CHI St Lukes Health Memorial San Augustine

Billing Code: G0260 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0260
Insurance Median: $610
Cash Discount Price: $48
vs. Medicare Baseline: 0.85x Medicare

The contracted insurance negotiated median rate for a Injection procedure for pain management at CHI St Lukes Health Memorial San Augustine is $610. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $48. Compared to the federal Medicare reimbursement reference rate of $721.17, this hospital’s rate is 0.85x the Medicare baseline. Located in 511 Hospital St, San Augustine, TX.

Cash / Self-Pay

$48

Average discount available for prompt cash payment at this facility.

Insurance Median

$610

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$721.17

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $721.17 (100%)

Cash / Self-Pay: $48 (7%)

Insurance Median: $610 (85%)

Cash: $48 (7% of Medicare)

Ins. Median: $610 (85% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $721.17 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
United	$74 - $687	10%
Aetna	$80 - $610	11%
PHCS	$219 - $258	30%
Humana	$225 - $610	31%
Multiplan	$225	31%
Galaxy	$290	40%
Entrust	$335	46%
Blue Cross Blue Shield	$413 - $1,031	57%
Wellpoint	$628 - $1,031	87%
Cigna	$640 - $2,016	89%
Scanhealth	$700	97%
Md Save	$762	106%
Angelina County	$1,665	231%
Brookshire Brothers	$1,829	254%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $48.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: G0260.

Insurance In-Network Protection Plan

Contact your insurance company to confirm CHI St Lukes Health Memorial San Augustine is fully in-network.
Ask your insurer if "Prior Authorization" is required for HCPCS code G0260.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.