CMS Price Transparency Data

Injection procedure for pain management

Facility: Stafford Hospital, LLC

Billing Code: G0260 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0260
Insurance Median: $685
Cash Discount Price: $545
vs. Medicare Baseline: 0.95x Medicare

The contracted insurance negotiated median rate for a Injection procedure for pain management at Stafford Hospital, LLC is $685. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $545. Compared to the federal Medicare reimbursement reference rate of $721.17, this hospital’s rate is 0.95x the Medicare baseline. Located in 101 Hospital Center Boulevard, Stafford, VA.

Cash / Self-Pay

$545

Average discount available for prompt cash payment at this facility.

Insurance Median

$685

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: $545 (76%)

Insurance Median: $685 (95%)

Cash: $545 (76% of Medicare)

Ins. Median: $685 (95% 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
Sentara	$240 - $616	33%
Medcost	$318	44%
PHCS	$325	45%
Aetna	$325 - $4,583	45%
UnitedHealthcare	$616 - $2,319	85%
Blue Cross Blue Shield	$616 - $1,491	85%
Humana	$616 - $659	85%
Molina	$641 - $685	89%
Kaiser	$660 - $2,160	92%
Cf	$1,529 - $1,757	212%
Cigna	$2,124 - $2,655	295%
Innovation	$2,582 - $2,840	358%

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 $545.
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 Stafford Hospital, LLC 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.