CMS Price Transparency Data

Injection procedure for pain management

Facility: Fort Memorial Hospital

Billing Code: G0260 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$769
about 1.1× the $721 Medicare rate · typically $629–$1,064
modeled estimate · not a bill or quote
What this hospital charges insurers
$667
Below the fair price — a good deal
about $102 under the fair price · 0.9× Medicare
Medicare pays $721 Fair price $769 This hospital $667

How we calculate the fair BaseRate →

How this hospital compares to other WI hospitals

On the higher side — 6 of 8 other WI hospitals charge less.

Cheapest $576 Priciest $669

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

A fair price for a Injection procedure for pain management is about $769 (about 1.1× the $721 Medicare rate). Fort Memorial Hospital charges insurers about $667 — below the fair price — a good deal. Located in Fort Atkinson, WI.

What each insurance company pays

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

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Humana AetnaCignaKaiser 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 $640 - $667 89%
Blue Cross Blue Shieldmajor $667 92%
Humanamajor $667 92%
Dean Health Plan $667 92%
Molina $327 - $667 45%
Quartz $667 - $1,601 92%
+ 2 smaller / regional plans $800 - $1,601
Government programs also on file: Medicare.

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Facility Profile & Credentials

  • Address: 611 Sherman Ave E, Fort Atkinson, WI 53538
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals