CMS Price Transparency Data

Injection procedure for pain management

Facility: South Lincoln Medical Center - Cah

Billing Code: G0260 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0260
Insurance Median: $1,177
Cash Discount Price: $981
vs. Medicare Baseline: 1.63x Medicare

The contracted insurance negotiated median rate for a Injection procedure for pain management at South Lincoln Medical Center - Cah is $1,177. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $981. Compared to the federal Medicare reimbursement reference rate of $721.17, this hospital’s rate is 1.63x the Medicare baseline. Located in 711 Onyx Street, Kemmerer, WY.

Cash / Self-Pay

$981

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,177

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$721.17

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $721.17 (100%)

Cash / Self-Pay: $981 (136%)

Insurance Median: $1,177 (163%)

Cash: $981 (136% of Medicare)

Ins. Median: $1,177 (163% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $721.17 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Aetna	$680 - $1,243	94%
Blue Cross Blue Shield	$680 - $1,099	94%
Humana	$680	94%
Altius Health Plans - All Plans	$1,177	163%
Cigna	$1,177	163%
Great West Healthcare - All Plans	$1,177	163%
Integrated Hp - All Plans	$1,177	163%
UnitedHealthcare	$1,177	163%
Winhealth Partners - All Plans	$1,177	163%
Ccn - All Plans	$1,243	172%
Geha - All Plans	$1,243	172%
Health Infonet/First Choice - All Plans	$1,243	172%
Three Rivers - All Plans	$1,243	172%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $981.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: G0260.

Insurance In-Network Protection Plan

Contact your insurance company to confirm South Lincoln Medical Center - Cah is fully in-network.
Ask your insurer if "Prior Authorization" is required for HCPCS code G0260.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.