CMS Price Transparency Data

Injection procedure for pain management

Facility: Virginia Mason Medical Center

Billing Code: G0260 (HCPCS)

The BaseRate · fair price high confidence

A fair price for this

$1,376

about 1.9× the $721 Medicare rate · typically $789–$2,160

modeled estimate · not a bill or quote

What this hospital charges insurers

$792

Below the fair price — a good deal

about $584 under the fair price · 1.1× Medicare

Medicare pays $721 Fair price $1,376 This hospital $792 Cash price $1,112 Hospital's list price $2,181

How we calculate the fair BaseRate →

How this hospital compares to other WA hospitals

One of the lower prices — 6 of 8 other WA hospitals charge more for the same procedure.

Cheapest $757 Priciest $1,132

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

A fair price for a Injection procedure for pain management is about $1,376 (about 1.9× the $721 Medicare rate). Virginia Mason Medical Center charges insurers about $792, or about $1,112 in cash — below the fair price — a good deal. Located in Seattle, WA.

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	$754 - $2,551	105%
Blue Cross Blue Shieldmajor	$641 - $2,353	89%
Aetnamajor	$170 - $4,497	24%
Cignamajor	$122 - $2,555	17%
Humanamajor	$754	105%
Kaiser Permanentemajor	$754 - $1,909	105%
+ 1 smaller / regional plan	$1,397

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 1,112), 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 Virginia Mason Medical Center 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 Virginia Mason Medical Center

Compare: Injection procedure for pain management at other WA hospitals

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