CMS Price Transparency Data

Injection procedure for pain management

Facility: University of Alabama Hospital

Billing Code: G0260 (HCPCS)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: G0260
  • Insurance Median: $2,090
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 2.90x Medicare
The contracted insurance negotiated median rate for a Injection procedure for pain management at University of Alabama Hospital is $2,090. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $721.17, this hospital’s rate is 2.90x the Medicare baseline. Located in 619 South 19Th Street, Birmingham, AL.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,090

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%)
Insurance Median: $2,090 (290%)
Ins. Median: $2,090 (290% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 290% of the Medicare baseline (a markup of 190%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

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

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Commercial Insurance Negotiated Rates

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

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Triwest $319 44%
Viva $939 - $1,249 130%
University of Alabama $1,174 - $1,562 163%
UnitedHealthcare $1,276 - $2,781 177%
Aetna $1,432 - $1,905 199%
North Alabama Managed Care $1,526 - $2,030 212%
Coventry $1,526 - $2,522 212%
Cigna $1,572 - $2,381 218%
Comp One $1,690 - $2,249 234%
Construction Claims Management $1,756 - $2,336 243%
Alamed $1,760 - $2,342 244%
Healthcare Alliance $1,878 - $2,498 260%
Tethys $1,878 - $2,498 260%
Evolutions $1,878 - $2,811 260%
Select Value Care $1,878 - $2,498 260%
Novanet $1,878 - $2,811 260%
Starcare $1,878 - $2,498 260%
Prime Health Services $1,878 - $2,811 260%
Corvel $1,878 - $2,498 260%
Multiplan $1,925 - $2,561 267%
Vantage Health Plan $1,995 - $2,655 277%
Phifer $1,995 - $2,655 277%
Geha $1,995 - $2,655 277%
Gulf Health Plans $1,995 - $2,655 277%
Department of Labor $1,995 - $2,655 277%
Southern Nuclear $1,995 - $2,655 277%
Mississippi Physicians $1,995 - $2,655 277%
Preferred Health Partnership $1,995 - $2,655 277%
Humana $1,995 - $2,655 277%
Heritage Summit Health $1,995 - $2,655 277%
Galaxy Health Network $2,112 - $2,811 293%
North Mississippi Health Link $2,112 - $2,811 293%
National Provider Network $2,112 - $2,811 293%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 619 South 19Th Street, Birmingham, AL 35233
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - State
  • Hospital Type: Acute Care Hospitals