CMS Price Transparency Data

Injection procedure for pain management

Facility: Upland Hills Health

Billing Code: G0260 (HCPCS)

The BaseRate · fair price low confidence

A fair price for this

$856

about 1.2× the $721 Medicare rate · typically $317–$3,460

modeled estimate · not a bill or quote

What this hospital charges insurers

$613

Below the fair price — a good deal

about $243 under the fair price · 0.9× Medicare

Medicare pays $721 Fair price $856 This hospital $613 Cash price $1,073 Hospital's list price $1,988

How we calculate the fair BaseRate →

How this hospital compares to other WI hospitals

One of the lower prices — 7 of 8 other WI hospitals charge more for the same procedure.

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 $856 (about 1.2× the $721 Medicare rate). Upland Hills Health charges insurers about $613, or about $1,073 in cash — below the fair price — a good deal. Located in Dodgeville, WI.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Cigna✓ Humana AetnaKaiser 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	$557 - $1,550	77%
Blue Cross Blue Shieldmajor	$557 - $1,630	77%
Cignamajor	$1,483 - $1,658	206%
Humanamajor	$557 - $1,789	77%
Dean Health Plan	$2,846	395%
Quartz	$1,371	190%
Security Health Plan	$557	77%
+ 5 smaller / regional plans	$557 - $1,491

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 1,073), 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 Upland Hills Health 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 Upland Hills Health

Compare: Injection procedure for pain management at other WI hospitals

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