CMS Price Transparency Data

Injection procedure for pain management

Facility: Harrison Medical Center

Billing Code: G0260 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0260
Insurance Median: $1,912
Cash Discount Price: $1,169
vs. Medicare Baseline: 2.65x Medicare

The contracted insurance negotiated median rate for a Injection procedure for pain management at Harrison Medical Center is $1,912. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,169. Compared to the federal Medicare reimbursement reference rate of $721.17, this hospital’s rate is 2.65x the Medicare baseline. Located in 1800 Nw Myhre Rd, Silverdale, WA.

Cash / Self-Pay

$1,169

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,912

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: $1,169 (162%)

Insurance Median: $1,912 (265%)

Cash: $1,169 (162% of Medicare)

Ins. Median: $1,912 (265% 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 265% of the Medicare baseline (a markup of 165%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Kaiser	$807 - $3,037	112%
Chpw	$807	112%
UnitedHealthcare	$815	113%
Wellcare	$819	114%
Aetna	$831 - $2,330	115%
Blue Cross Blue Shield	$831 - $3,001	115%
Humana	$864	120%
Molina	$872 - $1,856	121%
United	$872 - $2,251	121%
Sound Family Medicine	$1,614	224%
Cigna	$1,668 - $1,695	231%
Coordinated Care	$1,889	262%
Uniform Medical Plan	$1,912	265%
First Choice	$1,933	268%
Multiplan	$2,383	330%

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 $1,169.
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 Harrison 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.