CMS Price Transparency Data

Injection procedure for pain management

Facility: Black River Memorial Hospital

Billing Code: G0260 (HCPCS)

The BaseRate · fair price low confidence

A fair price for this

$836

about 1.2× the $721 Medicare rate · typically $274–$2,807

modeled estimate · not a bill or quote

What this hospital charges insurers

$696

Below the fair price — a good deal

about $140 under the fair price · 1.0× Medicare

Medicare pays $721 Fair price $836 This hospital $696 Cash price $1,229 Hospital's list price $1,365

How we calculate the fair BaseRate →

How this hospital compares to other WI hospitals

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

Cheapest $576 Priciest $696

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 $836 (about 1.2× the $721 Medicare rate). Black River Memorial Hospital charges insurers about $696, or about $1,229 in cash — below the fair price — a good deal. Located in Black River Falls, WI.

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✓ 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	$696 - $1,287	97%
Blue Cross Blue Shieldmajor	$696	97%
Aetnamajor	$1,324	184%
Cignamajor	$1,324	184%
Humanamajor	$696 - $1,269	97%
HealthPartners	$1,324	184%
Medica	$1,275	177%
Quartz	$696 - $1,242	97%
Security Health Plan	$696 - $1,275	97%
+ 10 smaller / regional plans	$696 - $1,338

Excludes 4 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 1,229), 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 Black River Memorial 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 Black River Memorial Hospital

Compare: Injection procedure for pain management at other WI hospitals

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