CMS Price Transparency Data

Injection procedure for pain management

Facility: Lonesome Pine Hospital

Billing Code: G0260 (HCPCS)

The BaseRate · fair price high confidence

A fair price for this

$789

about 1.1× the $721 Medicare rate · typically $709–$1,674

modeled estimate · not a bill or quote

What this hospital charges insurers

$727

About the fair price

about $62 under the fair price · 1.0× Medicare

Medicare pays $721 Fair price $789 This hospital $727 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 $727

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 $789 (about 1.1× the $721 Medicare rate). Lonesome Pine Hospital charges insurers about $727, or about $418 in cash — about the fair price. Located in Big Stone Gap, 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	$390 - $1,652	54%
Blue Cross Blue Shieldmajor	$585 - $3,141	81%
Aetnamajor	$590 - $1,341	82%
Cignamajor	$723 - $2,898	100%
Humanamajor	$689	96%
Ambetter (Centene)	$1,501	208%
Amerigroup	$689	96%
Devoted Health	$723	100%
Molina	$596 - $723	83%
Sentara	$585 - $795	81%
WellCare	$730	101%
+ 4 smaller / regional plans	$689 - $1,653

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 Lonesome Pine 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 (%)

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Other Procedures at Lonesome Pine Hospital

Compare: Injection procedure for pain management at other VA hospitals

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