CMS Price Transparency Data

Injection procedure for pain management

Facility: St Elizabeth Hospital

Billing Code: G0260 (HCPCS)

The BaseRate · fair price medium confidence

A fair price for this

$1,256

about 1.7× the $721 Medicare rate · typically $382–$2,406

modeled estimate · not a bill or quote

What this hospital charges insurers

$894

Below the fair price — a good deal

about $362 under the fair price · 1.2× Medicare

Medicare pays $721 Fair price $1,256 This hospital $894 Cash price $936 Hospital's list price $2,648

How we calculate the fair BaseRate →

How this hospital compares to other WA hospitals

A typical price — 3 charge more and 5 charge less, among the 9 WA hospitals compared.

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 $1,256 (about 1.7× the $721 Medicare rate). St Elizabeth Hospital charges insurers about $894, or about $936 in cash — below the fair price — a good deal. Located in Enumclaw, 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	$477 - $1,416	66%
Blue Cross Blue Shieldmajor	$491 - $2,927	68%
Aetnamajor	$583 - $1,907	81%
Cignamajor	$4,556	632%
Humanamajor	$510	71%
Kaiser Permanentemajor	$477 - $1,929	66%
Amerigroup	$477	66%
Molina	$480 - $915	67%
+ 6 smaller / regional plans	$459 - $2,050

Excludes 1 rental-network / third-party entry (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 936), 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 St Elizabeth 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 (%)

Enter your details and press estimate to compare.

Other Procedures at St Elizabeth Hospital

Compare: Injection procedure for pain management at other WA hospitals

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