Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography
Medicare pricing data for 1,708 providers across 48 states
This procedure has a 9.9x markup — hospitals charge $2,693 but Medicare allows only $273.30. Uninsured patients may face bills 9.9 times higher than what insurance negotiates. Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.
💡 What You Should Know
Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography (HCPCS code G0260) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $273.30, but hospitals typically charge $2,693 — a 9.9x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $273.30, your out-of-pocket cost would be approximately $54.66. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 9.9x more than what Medicare allows for this procedure. Medicare actually pays $214.45 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| California | $325 | $4,420 | 252 | 11,465 | +18.9% |
| Alaska | $319 | $2,568 | 3 | 54 | +16.6% |
| Nevada | $314 | $4,429 | 25 | 754 | +14.8% |
| Washington | $298 | $1,900 | 28 | 1,562 | +9.2% |
| New Jersey | $295 | $5,641 | 102 | 2,298 | +7.9% |
| New York | $293 | $2,750 | 41 | 2,519 | +7.3% |
| Connecticut | $293 | $1,637 | 19 | 861 | +7.2% |
| Oregon | $287 | $1,394 | 29 | 2,095 | +4.9% |
| North Dakota | $286 | $1,403 | 4 | 388 | +4.8% |
| Rhode Island | $285 | $1,055 | 4 | 117 | +4.2% |
| Massachusetts | $284 | $1,786 | 10 | 578 | +4.0% |
| New Hampshire | $281 | $1,628 | 9 | 305 | +2.7% |
| Maine | $276 | $2,170 | 1 | 30 | +0.9% |
| Minnesota | $273 | $1,815 | 31 | 2,341 | -0.0% |
| Missouri | $271 | $3,282 | 17 | 742 | -0.7% |
| Indiana | $271 | $2,896 | 54 | 2,803 | -0.8% |
| Colorado | $270 | $3,183 | 44 | 2,551 | -1.0% |
| Arizona | $270 | $2,525 | 56 | 3,988 | -1.2% |
| Texas | $269 | $3,169 | 150 | 7,414 | -1.7% |
| Wisconsin | $269 | $2,441 | 34 | 1,928 | -1.7% |
| Pennsylvania | $268 | $2,541 | 63 | 3,368 | -1.9% |
| Iowa | $268 | $2,305 | 5 | 238 | -2.0% |
| Delaware | $268 | $2,116 | 9 | 911 | -2.0% |
| Wyoming | $266 | $1,573 | 8 | 324 | -2.5% |
| Illinois | $266 | $2,526 | 42 | 2,037 | -2.7% |
| Maryland | $266 | $1,988 | 88 | 4,856 | -2.8% |
| Virginia | $265 | $1,519 | 9 | 176 | -2.9% |
| South Carolina | $265 | $1,631 | 9 | 813 | -3.0% |
| North Carolina | $264 | $1,390 | 9 | 167 | -3.5% |
| Utah | $263 | $1,050 | 7 | 574 | -3.7% |
| Montana | $263 | $1,118 | 9 | 181 | -3.8% |
| Nebraska | $263 | $1,646 | 14 | 576 | -3.9% |
| New Mexico | $261 | $3,163 | 4 | 306 | -4.5% |
| Ohio | $260 | $1,727 | 46 | 2,751 | -4.7% |
| Kansas | $259 | $2,850 | 23 | 1,217 | -5.1% |
| Idaho | $259 | $1,535 | 13 | 1,042 | -5.1% |
| Georgia | $259 | $2,609 | 115 | 9,980 | -5.3% |
| Kentucky | $259 | $3,008 | 7 | 458 | -5.4% |
| West Virginia | $258 | $1,081 | 2 | 30 | -5.5% |
| Michigan | $256 | $2,334 | 26 | 825 | -6.3% |
| Oklahoma | $252 | $819 | 6 | 134 | -7.9% |
| Florida | $252 | $2,228 | 143 | 8,907 | -7.9% |
| Arkansas | $251 | $2,003 | 19 | 868 | -8.1% |
| Louisiana | $249 | $2,331 | 33 | 1,864 | -9.0% |
| Tennessee | $247 | $1,867 | 36 | 1,962 | -9.4% |
| Mississippi | $247 | $1,374 | 22 | 2,346 | -9.8% |
| South Dakota | $245 | $751 | 3 | 207 | -10.3% |
| Alabama | $227 | $2,050 | 20 | 738 | -16.9% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber