CMS Price Transparency Data

Injection procedure for pain management

Facility: Baylor Scott & White Medical Center Pflugerville

Billing Code: G0260 (HCPCS)

The BaseRate · fair price high confidence

A fair price for this

$802

about 1.1× the $721 Medicare rate · typically $610–$1,674

modeled estimate · not a bill or quote

What this hospital charges insurers

$759

About the fair price

about $43 under the fair price · 1.1× Medicare

Medicare pays $721 Fair price $802 This hospital $759 Cash price $1,381 Hospital's list price $2,302

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 $759

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 $802 (about 1.1× the $721 Medicare rate). Baylor Scott & White Medical Center Pflugerville charges insurers about $759, or about $1,381 in cash — about the fair price. Located in Pflugerville, TX.

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	$711 - $4,419	99%
Blue Cross Blue Shieldmajor	$76 - $1,289	11%
Aetnamajor	$3,066	425%
Cignamajor	$1,093 - $3,500	152%
Humanamajor	$619 - $3,704	86%
Baylor Scott & White	$588 - $1,021	82%
Cigna HealthSpring	$650	90%
+ 8 smaller / regional plans	$650 - $1,726

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

Excludes 6 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 1,381), 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 Medical Center Pflugerville 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 Medical Center Pflugerville

Compare: Injection procedure for pain management at other TX hospitals

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