CMS Price Transparency Data

Injection procedure for pain management

Facility: Deaconess Henderson Hospital

Billing Code: G0260 (HCPCS)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: G0260
  • Insurance Median: $1,190
  • Cash Discount Price: $558
  • vs. Medicare Baseline: 1.65x Medicare
The contracted insurance negotiated median rate for a Injection procedure for pain management at Deaconess Henderson Hospital is $1,190. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $558. Compared to the federal Medicare reimbursement reference rate of $721.17, this hospital’s rate is 1.65x the Medicare baseline. Located in 1305 N Elm St, Henderson, KY.
Cash / Self-Pay
$558

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,190

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: $558 (77%)
Insurance Median: $1,190 (165%)
Cash: $558 (77% of Medicare)
Ins. Median: $1,190 (165% 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.

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
UnitedHealthcare $316 - $3,968 44%
Medicaid / KanCare $316 - $607 44%
Aetna $316 - $2,943 44%
Humana $319 - $2,427 44%
Ky Racing Health & Welfare Fund $458 - $880 64%
Self-Pay $474 - $910 66%
Wellcare Il $607 84%
Molina Healthcare of Ky $607 84%
Mhs McO $607 84%
Mytru Advantage $607 84%
Umwa $607 84%
Wellcare Ky $607 - $729 84%
Medicare (plans) $607 84%
Blue Cross Blue Shield $607 - $3,766 84%
Molina Healthcare of Ky - Exchange $607 84%
Encircle/Encore Prime $798 - $1,637 111%
Iu Health Plans $810 - $1,555 112%
Encircle/Encore Combined $876 - $1,756 121%
Center Care Narrow $901 - $1,729 125%
Caresource in Marketplace $911 126%
Alliance Coal $911 126%
Amish and Mennonite of Western Ky $911 126%
Claimdoc $949 - $1,820 132%
Noncontracted $972 135%
Center Care Open Access $980 - $1,881 136%
Cigna $1,012 - $1,942 140%
Healthlink $1,186 - $2,276 164%
Wellcare Ky Commercial Exchange $1,245 173%
Webster County Detention Center $1,265 - $2,427 175%
Coventry National Network $1,265 - $2,427 175%
One Care $1,336 185%
First Health Network (Coventry) $1,344 - $2,579 186%
Sagamore $1,391 - $2,670 193%
Phcs/Multiplan $1,423 - $2,731 197%
Henderson County Detention Center $1,423 - $2,731 197%
Hstechnology $1,458 202%
Hopetrust $1,458 202%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1305 N Elm St, Henderson, KY 42420
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals