CMS Price Transparency Data

Injection procedure for pain management

Facility: Russell County Hospital

Billing Code: G0260 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0260
Insurance Median: $1,204
Cash Discount Price: $418
vs. Medicare Baseline: 1.67x Medicare

The contracted insurance negotiated median rate for a Injection procedure for pain management at Russell County Hospital is $1,204. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $418. Compared to the federal Medicare reimbursement reference rate of $721.17, this hospital’s rate is 1.67x the Medicare baseline. Located in 58 Carroll Street, Lebanon, VA.

Cash / Self-Pay

$418

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,204

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: $418 (58%)

Insurance Median: $1,204 (167%)

Cash: $418 (58% of Medicare)

Ins. Median: $1,204 (167% 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
Optima Health	$568	79%
UnitedHealthcare	$568 - $2,340	79%
Blue Cross Blue Shield	$585 - $2,712	81%
Molina Healthcare	$590 - $716	82%
Aetna	$596 - $2,513	83%
Amerigroup	$689	96%
Managed Medicaire	$689	96%
Medicare (plans)	$689	96%
Sentara Health	$689 - $1,144	96%
United Mine Workers of America	$689	96%
Humana	$700	97%
Cigna	$723 - $2,194	100%
Devoted Health Plan	$723	100%
Nhc Advantage	$723	100%
Medcost	$853 - $1,099	118%
Ambetter / Centene	$1,501	208%
First Health Coventry	$2,437 - $3,141	338%
Seven Corners, Inc.	$2,437 - $3,141	338%

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 $418.
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 Russell County Hospital 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.