CMS Price Transparency Data

Flu vaccine injection

Facility: Baylor Scott and White Medical Center Frisco at Pg

Billing Code: G0008 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0008
Insurance Median: $19
Cash Discount Price: $15
vs. Medicare Baseline: 0.40x Medicare

The contracted insurance negotiated median rate for a Flu vaccine injection at Baylor Scott and White Medical Center Frisco at Pg is $19. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $15. Compared to the federal Medicare reimbursement reference rate of $47.84, this hospital’s rate is 0.40x the Medicare baseline. Located in 7600 Better Way, Frisco, TX.

Cash / Self-Pay

$15

Average discount available for prompt cash payment at this facility.

Insurance Median

$19

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$47.84

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $47.84 (100%)

Cash / Self-Pay: $15 (31%)

Insurance Median: $19 (40%)

Cash: $15 (31% of Medicare)

Ins. Median: $19 (40% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $47.84 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
Baylor Scott & White Health Plan	$12 - $72	25%
Cigna	$12 - $14	25%
Aetna	$14 - $43	29%
Employers Health Network	$14	29%
Quiktrip	$14	29%
University of Mary Hardin-Baylor	$14	29%
Curative	$16	33%
Imagine Health	$16	33%
UnitedHealthcare	$16 - $50	33%
First Health	$18	38%
Healthsmart	$18 - $19	38%
Humana	$18 - $43	38%
Private Health Care System	$19	40%
American Health Plan	$46	96%
Blue Cross Blue Shield	$46 - $146	96%
Corvel	$46	96%
Healthspring	$46	96%
Prime Health Services	$46	96%
Procare Advantage	$46	96%
Superior Health Plan	$46	96%
Ambetter / Centene	$90	188%

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 $15.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: G0008.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Baylor Scott and White Medical Center Frisco at Pg is fully in-network.
Ask your insurer if "Prior Authorization" is required for HCPCS code G0008.
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.