CMS Price Transparency Data

Injection procedure for pain management

Facility: Baylor Scott & White the Heart Hospital Plano

Billing Code: G0260 (HCPCS)

The BaseRate · fair price high confidence

A fair price for this

$864

about 1.2× the $721 Medicare rate · typically $740–$1,502

modeled estimate · not a bill or quote

What this hospital charges insurers

$1,022

Above the fair price

about $158 over the fair price · 1.4× Medicare

Medicare pays $721 Fair price $864 This hospital $1,022 Cash price $1,465 Hospital's list price $2,442

How we calculate the fair BaseRate →

How this hospital compares to other TX hospitals

Highest price of the 9 TX hospitals we have prices for — worth calling around.

Cheapest $339 Priciest $1,022

Black dot = this hospital, among the 9 TX hospitals with a price for this procedure. Full list below.

A fair price for a Injection procedure for pain management is about $864 (about 1.2× the $721 Medicare rate). Baylor Scott & White the Heart Hospital Plano charges insurers about $1,022, or about $1,465 in cash — above the fair price. Located in Plano, TX.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $864. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$727 - $2,960	101%
Blue Cross Blue Shieldmajor	$664 - $2,113	92%
Aetnamajor	$632 - $5,189	88%
Cignamajor	$1,204 - $4,042	167%
Humanamajor	$632 - $1,709	88%
Ambetter (Centene)	$1,309	182%
Baylor Scott & White	$601 - $1,465	83%
Cigna HealthSpring	$664	92%
Health Net	$1,343	186%
+ 6 smaller / regional plans	$664 - $1,831

Government programs also on file: Medicaid, Military & VA.

Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 1,465), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the HCPCS code on your bill matches exactly: G0260.

Insurance Before you use insurance

Call your insurance company to confirm Baylor Scott & White the Heart Hospital Plano is in-network.
Ask your insurer whether prior approval is required for HCPCS code G0260.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Baylor Scott & White the Heart Hospital Plano

Compare: Injection procedure for pain management at other TX hospitals

Insurance negotiated median for the same procedure, sorted lowest first.