CMS Price Transparency Data

Injection procedure for pain management

Facility: Crossing Rivers Health Medical Center

Billing Code: G0260 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0260
Insurance Median: $3,113
Cash Discount Price: $3,277
vs. Medicare Baseline: 4.32x Medicare

The contracted insurance negotiated median rate for a Injection procedure for pain management at Crossing Rivers Health Medical Center is $3,113. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,277. Compared to the federal Medicare reimbursement reference rate of $721.17, this hospital’s rate is 4.32x the Medicare baseline. Located in 37868 Us Hwy 18, Prairie Du Chien, WI.

Cash / Self-Pay

$3,277

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,113

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: $3,277 (454%)

Insurance Median: $3,113 (432%)

Cash: $3,277 (454% of Medicare)

Ins. Median: $3,113 (432% 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 432% of the Medicare baseline (a markup of 332%). 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
Amerigroup McAid-All Other Plans	$978	136%
Iowa Total Care McAid-All Plans	$978	136%
UnitedHealthcare	$1,043 - $1,376	145%
Blue Cross Blue Shield	$1,043 - $3,113	145%
Humana	$1,054 - $3,146	146%
Amerigroup McR Adv	$1,376	191%
Security Hlth McR Adv	$1,376	191%
Quartz - All Plans	$1,987	276%
Medica Hp Solutions	$2,360	327%
Wps - All Plans	$2,409	334%
Dean Health Plan - All Plans	$3,113	432%
Security Hlth Comm - All Other Plans	$3,113	432%
Medica Comm - All Other Plans	$3,113	432%
Wea Provider Ntwrk - All Plans	$3,146	436%
Health Trad Hp - All Plans	$3,146	436%
Health Partners - All Plans	$3,178	441%
Preferred Health Choice - All Plans	$3,178	441%
First Health - All Plans	$3,178	441%
Group Health Co-Op - All Plans	$3,178	441%
Cigna	$3,178	441%
Geha - All Plans	$3,178	441%
Medical Associates Hp - All Plans	$3,178	441%

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 $3,277.
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 Crossing Rivers Health 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.