CMS Price Transparency Data

Injection procedure for pain management

Facility: Stafford Hospital, LLC

Billing Code: G0260 (HCPCS)

The BaseRate · fair price medium confidence

A fair price for this

$1,443

about 2.0× the $721 Medicare rate · typically $733–$2,267

modeled estimate · not a bill or quote

What this hospital charges insurers

$705

Below the fair price — a good deal

about $738 under the fair price · 1.0× Medicare

Medicare pays $721 Fair price $1,443 This hospital $705 Cash price $545 Hospital's list price $1,089

How we calculate the fair BaseRate →

How this hospital compares to other VA hospitals

A typical price — 3 charge more and 4 charge less, among the 9 VA hospitals compared.

Cheapest $653 Priciest $723

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 $1,443 (about 2.0× the $721 Medicare rate). Stafford Hospital, LLC charges insurers about $705, or about $545 in cash — below the fair price — a good deal. Located in Stafford, VA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

6 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	$616 - $2,319	85%
Blue Cross Blue Shieldmajor	$616 - $1,491	85%
Aetnamajor	$325 - $4,583	45%
Cignamajor	$2,124 - $2,655	295%
Humanamajor	$616 - $659	85%
Kaiser Permanentemajor	$660 - $2,160	92%
Molina	$641 - $685	89%
Sentara	$240 - $616	33%
+ 1 smaller / regional plan	$2,582 - $2,840

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 545), 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 Stafford Hospital, LLC 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 Stafford Hospital, LLC

Compare: Injection procedure for pain management at other VA hospitals

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