CMS Price Transparency Data

Injection procedure for pain management

Facility: Saint Mary's Regional Medical Center

Billing Code: G0260 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0260
Insurance Median: $1,075
Cash Discount Price: $767
vs. Medicare Baseline: 1.49x Medicare

The contracted insurance negotiated median rate for a Injection procedure for pain management at Saint Mary's Regional Medical Center is $1,075. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $767. Compared to the federal Medicare reimbursement reference rate of $721.17, this hospital’s rate is 1.49x the Medicare baseline. Located in 235 W 6Th St, Reno, NV.

Cash / Self-Pay

$767

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,075

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: $767 (106%)

Insurance Median: $1,075 (149%)

Cash: $767 (106% of Medicare)

Ins. Median: $1,075 (149% 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
Access To Healthcare Network	$220	31%
Health Plan of Nevada	$259 - $768	36%
Medicaid / KanCare	$259	36%
Silver Summit	$259 - $1,344	36%
Blue Cross Blue Shield	$259 - $1,480	36%
Aetna	$768 - $1,691	106%
Sierra	$768	106%
Molina Healthcare of Nv	$768	106%
Medicare (plans)	$768	106%
Saint Mary Health Plan	$768 - $883	106%
Triwest	$768	106%
Tricare	$768	106%
Alignment	$783	109%
UnitedHealthcare	$791 - $1,691	110%
PAM	$883	122%
Veterans Evaluation Service Ves	$960	133%
Naphcare	$1,075	149%
Home Town Test	$1,075	149%
Employer Direct	$1,075	149%
Three Rivers	$1,126	156%
Occunet	$1,126 - $1,536	156%
Asserta Health	$1,152	160%
Imperial Insurance Company	$1,152 - $1,420	160%
Worker Compensation	$1,161	161%
Nevada Health Partners	$1,427	198%
6 Degrees	$1,536	213%
Nv Preferred	$1,633 - $1,691	226%
Custom Ink	$1,666	231%

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 $767.
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 Saint Mary's Regional Medical Center 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.