CMS Price Transparency Data

Injection procedure for pain management

Facility: Baylor Scott & White Medical Center- Austin

Billing Code: G0260 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0260
Insurance Median: $1,059
Cash Discount Price: $1,381
vs. Medicare Baseline: 1.47x Medicare

The contracted insurance negotiated median rate for a Injection procedure for pain management at Baylor Scott & White Medical Center- Austin is $1,059. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,381. Compared to the federal Medicare reimbursement reference rate of $721.17, this hospital’s rate is 1.47x the Medicare baseline. Located in 5245 W Us 290, Austin, TX.

Cash / Self-Pay

$1,381

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,059

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$721.17

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $721.17 (100%)

Cash / Self-Pay: $1,381 (191%)

Insurance Median: $1,059 (147%)

Cash: $1,381 (191% of Medicare)

Ins. Median: $1,059 (147% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $721.17 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.

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
Blue Cross Blue Shield	$76 - $1,289	11%
Baylor Scott & White Health Plan	$588 - $1,021	82%
Humana	$619 - $3,704	86%
Superior Health Plan	$619 - $667	86%
Triwest	$619	86%
American Health Plan	$650	90%
Healthspring	$650	90%
Procare Advantage	$650	90%
UnitedHealthcare	$711 - $4,419	99%
Cigna	$1,093 - $3,500	152%
Midcoast	$1,266	176%
Quiktrip	$1,266	176%
University of Mary Hardin-Baylor	$1,335	185%
Curative	$1,496	207%
First Health	$1,611	223%
Private Health Care System	$1,726	239%
Aetna	$3,066	425%

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 $1,381.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: G0260.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Baylor Scott & White Medical Center- Austin is fully in-network.
Ask your insurer if "Prior Authorization" is required for HCPCS code G0260.
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.