CMS Price Transparency Data

Electrical stimulation therapy

Facility: Baylor Scott and White Medical Center McKinney

Billing Code: G0283 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0283
Insurance Median: $91
Cash Discount Price: $87
vs. Medicare Baseline: 7.17x Medicare

The contracted insurance negotiated median rate for a Electrical stimulation therapy at Baylor Scott and White Medical Center McKinney is $91. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $87. Compared to the federal Medicare reimbursement reference rate of $12.69, this hospital’s rate is 7.17x the Medicare baseline. Located in 5252 West University Drive, Mc Kinney, TX.

Cash / Self-Pay

$87

Average discount available for prompt cash payment at this facility.

Insurance Median

$91

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: $87 (686%)

Insurance Median: $91 (717%)

Cash: $87 (686% of Medicare)

Ins. Median: $91 (717% 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 717% of the Medicare baseline (a markup of 617%). 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
Superior Health Plan	$20	158%
Blue Cross Blue Shield	$42 - $89	331%
Baylor Scott & White Health Plan	$72 - $84	567%
Aetna	$80 - $87	630%
Employers Health Network	$80	630%
Quiktrip	$80	630%
University of Mary Hardin-Baylor	$84	662%
Imagine Health	$91	717%
Ambetter / Centene	$95	749%
Curative	$95	749%
First Health	$102	804%
Healthsmart	$102 - $109	804%
Humana	$102	804%
UnitedHealthcare	$108 - $120	851%
Private Health Care System	$109	859%
Triwest	$109	859%
Cigna	$128 - $151	1009%

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 $87.
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 Baylor Scott and White Medical Center McKinney 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.