CMS Price Transparency Data

Electrical stimulation therapy

Facility: Texas Health Presbyterian Hospital Flower Mound

Billing Code: G0283 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0283
Insurance Median: $86
Cash Discount Price: $94
vs. Medicare Baseline: 6.78x Medicare

The contracted insurance negotiated median rate for a Electrical stimulation therapy at Texas Health Presbyterian Hospital Flower Mound is $86. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $94. Compared to the federal Medicare reimbursement reference rate of $12.69, this hospital’s rate is 6.78x the Medicare baseline. Located in 4400 Long Prairie Road, Flower Mound, TX.

Cash / Self-Pay

$94

Average discount available for prompt cash payment at this facility.

Insurance Median

$86

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$12.69

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $12.69 (100%)

Cash / Self-Pay: $94 (741%)

Insurance Median: $86 (678%)

Cash: $94 (741% of Medicare)

Ins. Median: $86 (678% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $12.69 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 678% of the Medicare baseline (a markup of 578%). 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
American Health	$12	95%
Blue Cross Blue Shield	$12 - $118	95%
Amerigroup	$13 - $24	102%
Healthspring	$13	102%
Humana	$13	102%
Molina	$13 - $25	102%
Superior Wellcare	$13 - $25	102%
UnitedHealthcare	$14 - $401	110%
Cook Childrens	$24	189%
Aetna	$26 - $110	205%
City of Fort Worth	$74	583%
Quick Trip	$94 - $99	741%
Fort Worth Firefighters	$96 - $250	757%
PHCS	$109 - $117	859%
Healthsmart	$117 - $131	922%
Multiplan	$136	1072%
Galaxy	$138	1087%
USA	$138	1087%
Cigna	$147 - $396	1158%

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 $94.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: G0283.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Texas Health Presbyterian Hospital Flower Mound is fully in-network.
Ask your insurer if "Prior Authorization" is required for HCPCS code G0283.
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.