G0260

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

🤖AI Overview

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

$54.66

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.

Average Allowed Cost
$273.30
Average Hospital Charge
$2,693
Markup Ratio
9.9x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$2,692.66
Medicare Allowed$273.30
Medicare Payment$214.45

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

StateAllowed CostHospital ChargeProvidersServicesvs. National
California$325$4,42025211,465+18.9%
Alaska$319$2,568354+16.6%
Nevada$314$4,42925754+14.8%
Washington$298$1,900281,562+9.2%
New Jersey$295$5,6411022,298+7.9%
New York$293$2,750412,519+7.3%
Connecticut$293$1,63719861+7.2%
Oregon$287$1,394292,095+4.9%
North Dakota$286$1,4034388+4.8%
Rhode Island$285$1,0554117+4.2%
Massachusetts$284$1,78610578+4.0%
New Hampshire$281$1,6289305+2.7%
Maine$276$2,170130+0.9%
Minnesota$273$1,815312,341-0.0%
Missouri$271$3,28217742-0.7%
Indiana$271$2,896542,803-0.8%
Colorado$270$3,183442,551-1.0%
Arizona$270$2,525563,988-1.2%
Texas$269$3,1691507,414-1.7%
Wisconsin$269$2,441341,928-1.7%
Pennsylvania$268$2,541633,368-1.9%
Iowa$268$2,3055238-2.0%
Delaware$268$2,1169911-2.0%
Wyoming$266$1,5738324-2.5%
Illinois$266$2,526422,037-2.7%
Maryland$266$1,988884,856-2.8%
Virginia$265$1,5199176-2.9%
South Carolina$265$1,6319813-3.0%
North Carolina$264$1,3909167-3.5%
Utah$263$1,0507574-3.7%
Montana$263$1,1189181-3.8%
Nebraska$263$1,64614576-3.9%
New Mexico$261$3,1634306-4.5%
Ohio$260$1,727462,751-4.7%
Kansas$259$2,850231,217-5.1%
Idaho$259$1,535131,042-5.1%
Georgia$259$2,6091159,980-5.3%
Kentucky$259$3,0087458-5.4%
West Virginia$258$1,081230-5.5%
Michigan$256$2,33426825-6.3%
Oklahoma$252$8196134-7.9%
Florida$252$2,2281438,907-7.9%
Arkansas$251$2,00319868-8.1%
Louisiana$249$2,331331,864-9.0%
Tennessee$247$1,867361,962-9.4%
Mississippi$247$1,374222,346-9.8%
South Dakota$245$7513207-10.3%
Alabama$227$2,05020738-16.9%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

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