CMS Price Transparency Data

Electrical stimulation therapy

Facility: Baylor Scott & White Medical Center- Austin

Billing Code: G0283 (HCPCS)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: G0283
  • Insurance Median: $110
  • Cash Discount Price: $120
  • vs. Medicare Baseline: 8.67x Medicare
The contracted insurance negotiated median rate for a Electrical stimulation therapy at Baylor Scott & White Medical Center- Austin is $110. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $120. Compared to the federal Medicare reimbursement reference rate of $12.69, this hospital’s rate is 8.67x the Medicare baseline. Located in 5245 W Us 290, Austin, TX.
Cash / Self-Pay
$120

Average discount available for prompt cash payment at this facility.

Insurance Median
$110

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: $120 (946%)
Insurance Median: $110 (867%)
Cash: $120 (946% of Medicare)
Ins. Median: $110 (867% 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 867% of the Medicare baseline (a markup of 767%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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
Blue Cross Blue Shield $41 - $50 323%
Superior Health Plan $58 457%
Baylor Scott & White Health Plan $73 - $86 575%
Cigna $95 - $185 749%
UnitedHealthcare $109 - $139 859%
Aetna $110 867%
Midcoast $110 867%
Quiktrip $110 867%
University of Mary Hardin-Baylor $116 914%
Curative $130 1024%
Humana $130 - $140 1024%
First Health $140 1103%
Private Health Care System $150 1182%
Triwest $150 1182%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 5245 W Us 290, Austin, TX 78735
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals