CMS Price Transparency Data

Injection procedure for pain management

Facility: Johnston Memorial Hospital

Billing Code: G0260 (HCPCS)

The BaseRate · fair price high confidence

A fair price for this

$806

about 1.1× the $721 Medicare rate · typically $684–$1,081

modeled estimate · not a bill or quote

What this hospital charges insurers

$873

About the fair price

about $67 over the fair price · 1.2× Medicare

Medicare pays $721 Fair price $806 This hospital $873 Cash price $418 Hospital's list price $2,789

How we calculate the fair BaseRate →

How this hospital compares to other VA hospitals

Highest price of the 9 VA hospitals we have prices for — worth calling around.

Cheapest $653 Priciest $873

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

A fair price for a Injection procedure for pain management is about $806 (about 1.1× the $721 Medicare rate). Johnston Memorial Hospital charges insurers about $873, or about $418 in cash — about the fair price. Located in Abingdon, VA.

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	$568 - $2,340	79%
Blue Cross Blue Shieldmajor	$578 - $2,819	80%
Aetnamajor	$596 - $2,004	83%
Cignamajor	$723 - $2,194	100%
Humanamajor	$689	96%
Ambetter (Centene)	$1,501	208%
Amerigroup	$540 - $716	75%
Devoted Health	$723	100%
Molina	$590 - $716	82%
Sentara	$568 - $1,054	79%
WellCare	$730	101%
+ 4 smaller / regional plans	$689 - $3,141

Government programs also on file: Medicare.

Excludes 2 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 418), 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 Johnston Memorial 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 Johnston Memorial Hospital

Compare: Injection procedure for pain management at other VA hospitals

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