CMS Price Transparency Data

Injection procedure for pain management

Facility: Baylor Scott & White Hospital Brenham

Billing Code: G0260 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0260
Insurance Median: $1,046
Cash Discount Price: $1,334
vs. Medicare Baseline: 1.45x Medicare

The contracted insurance negotiated median rate for a Injection procedure for pain management at Baylor Scott & White Hospital Brenham is $1,046. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,334. Compared to the federal Medicare reimbursement reference rate of $721.17, this hospital’s rate is 1.45x the Medicare baseline. Located in 700 Medical Parkway, Brenham, TX.

Cash / Self-Pay

$1,334

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,046

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: $1,334 (185%)

Insurance Median: $1,046 (145%)

Cash: $1,334 (185% of Medicare)

Ins. Median: $1,046 (145% 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 - $1,245	11%
Baylor Scott & White Health Plan	$275 - $952	38%
Triwest	$289	40%
Corvel	$303	42%
Prime Health Services	$303	42%
American Health Plan	$304	42%
Healthspring	$304	42%
Procare Advantage	$304	42%
Superior Health Plan	$304	42%
Careworks Fka Rockport	$359	50%
Injury Management Organization	$359	50%
Sedgwick	$359	50%
UnitedHealthcare	$1,096 - $2,169	152%
Cigna	$1,143 - $3,500	158%
Midcoast	$1,223	170%
Quiktrip	$1,223	170%
University of Mary Hardin-Baylor	$1,290	179%
Independent Medical System	$1,334	185%
Imagine Health	$1,393	193%
Curative	$1,445	200%
First Health	$1,557	216%
Humana	$1,557 - $1,779	216%
Healthsmart	$1,642 - $1,668	228%
Private Health Care System	$1,668	231%
Bluebell Creameries	$2,001	277%
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 $1,334.
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 Hospital Brenham 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.