CMS Price Transparency Data

Injection procedure for pain management

Facility: Kadlec Regional Medical Center

Billing Code: G0260 (HCPCS)

The BaseRate · fair price high confidence

A fair price for this

$998

about 1.4× the $721 Medicare rate · typically $641–$1,359

modeled estimate · not a bill or quote

What this hospital charges insurers

$1,137

About the fair price

about $139 over the fair price · 1.6× Medicare

Medicare pays $721 Fair price $998 This hospital $1,137

How we calculate the fair BaseRate →

How this hospital compares to other WA hospitals

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

Cheapest $757 Priciest $1,137

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 $998 (about 1.4× the $721 Medicare rate). Kadlec Regional Medical Center charges insurers about $1,137 — about the fair price. Located in Richland, WA.

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✓ Kaiser Permanente Humana

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	$842	117%
Blue Cross Blue Shieldmajor	$286 - $1,930	40%
Aetnamajor	$810 - $818	112%
Cignamajor	$944 - $7,475	131%
Kaiser Permanentemajor	$787 - $2,210	109%
Amerigroup	$865	120%
Molina	$1,329	184%
+ 3 smaller / regional plans	$850 - $2,319

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, 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 Kadlec Regional 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 Kadlec Regional Medical Center

Compare: Injection procedure for pain management at other WA hospitals

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