CMS Price Transparency Data

Hospital observation (per hour)

Facility: Baylor Scott and White Medical Center Frisco at Pg

Billing Code: G0378 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0378
Insurance Median: $117
Cash Discount Price: $108
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Hospital observation (per hour) at Baylor Scott and White Medical Center Frisco at Pg is $117. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $108. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 7600 Better Way, Frisco, TX.

Cash / Self-Pay

$108

Average discount available for prompt cash payment at this facility.

Insurance Median

$117

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

N/A

Standard federal government reimbursement rate for this code.

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
Superior Health Plan	$25	N/A
Baylor Scott & White Health Plan	$89 - $104	N/A
Cigna	$89 - $104	N/A
Aetna	$99 - $119	N/A
Employers Health Network	$99	N/A
Quiktrip	$99	N/A
Imagine Health	$113	N/A
Ambetter / Centene	$117	N/A
Curative	$117	N/A
First Health	$126	N/A
Healthsmart	$126 - $135	N/A
Humana	$126	N/A
Private Health Care System	$135	N/A
Blue Cross Blue Shield	$369 - $781	N/A

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 $108.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: G0378.

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 G0378.
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.