Sacroiliac joint injection with imaging guidance at St Luke's Methodist Hospital

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HC SIJ ANESTH/STERIOD INJ WO IMG BILAT

Cedar Rapids, IA

See all payers reporting HCPCS G0260 →

Payers reporting HCPCS G0260 at St Luke's Methodist Hospital

Negotiated rates from the hospital’s own file: 7 payers, 17 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.

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1	Aetna hmo fee schedule · both	$186	$186	—	—	—	$186 – $186
2	Aetna ppo fee schedule · both	$228	$228	—	—	—	$228 – $228
3	Wellmark commercial fee schedule · both	$230	$230	—	—	—	$230 – $230
4	Wellmark hmo fee schedule · both	$230	$230	—	—	—	$230 – $230
5	Wellmark ppo fee schedule · both	$271	$271	—	—	—	$271 – $271
6	Aetna medicare advantage case rate · outpatient	$655	$655	—	—	—	$655 – $655
7	Molina medicare advantage case rate · outpatient	$655	$655	—	—	—	$655 – $655
8	Wellmark medicare advantage case rate · outpatient	$655	$655	—	—	—	$655 – $655
9	Humana medicare advantage case rate · outpatient	$674	$674	—	—	—	$674 – $674
10	UnitedHealthcare medicare advantage case rate · outpatient	$674	$674	—	—	—	$674 – $674
11	Medica commercial percent of total billed charges · outpatientfrom % of charges	$714	$856	$517	60%	—	$283 – $1.8k
12	Cigna commercial percent of total billed charges · inpatientfrom % of charges	$1.1k	$1.3k	$794	60%	—	$464 – $2.6k
13	Cigna commercial percent of total billed charges · outpatientfrom % of charges	$1.1k	$1.3k	$794	60%	—	$464 – $2.6k
14	Aetna hmo fee schedule · outpatient	$1.4k	$1.4k	—	—	—	$1.4k – $1.4k
15	Aetna ppo fee schedule · outpatient	$1.4k	$1.4k	—	—	—	$1.4k – $1.4k
16	UnitedHealthcare hmo fee schedule · outpatient	$1.7k	$1.7k	—	—	—	$1.7k – $1.7k
17	UnitedHealthcare ppo fee schedule · outpatient	$1.7k	$1.7k	—	—	—	$1.7k – $1.7k