CMS Price Transparency Data

Injection procedure for pain management

Facility: Primary Children's Hospital

Billing Code: G0260 (HCPCS)

The BaseRate · fair price medium confidence

A fair price for this

$546

about 0.8× the $721 Medicare rate · typically $314–$1,065

modeled estimate · not a bill or quote

What this hospital charges insurers

$438

Below the fair price — a good deal

about $108 under the fair price · 0.6× Medicare

Medicare pays $721 Fair price $546 This hospital $438 Cash price $886 Hospital's list price $1,181

How we calculate the fair BaseRate →

How this hospital compares to other UT hospitals

Lowest price of the 9 UT hospitals we have prices for — a strong deal.

Cheapest $438 Priciest $719

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

A fair price for a Injection procedure for pain management is about $546 (about 0.8× the $721 Medicare rate). Primary Children's Hospital charges insurers about $438, or about $886 in cash — below the fair price — a good deal. Located in Salt Lake City, UT.

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	$484 - $992	67%
Blue Cross Blue Shieldmajor	$862 - $1,015	120%
Aetnamajor	$838 - $1,004	116%
Cignamajor	$838 - $992	116%
Humanamajor	$838 - $992	116%
Health Net	$956	133%
Molina	$413 - $992	57%
SelectHealth	$413 - $992	57%
+ 31 smaller / regional plans	$337 - $1,039

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 (about 886), 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 Primary Children's Hospital 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 Primary Children's Hospital

Compare: Injection procedure for pain management at other UT hospitals

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