CMS Price Transparency Data

Injection procedure for pain management

Facility: Baylor Scott and White Medical Center Frisco at Pg

Billing Code: G0260 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0260
Insurance Median: $1,416
Cash Discount Price: $1,465
vs. Medicare Baseline: 1.96x Medicare

The contracted insurance negotiated median rate for a Injection procedure for pain management at Baylor Scott and White Medical Center Frisco at Pg is $1,416. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,465. Compared to the federal Medicare reimbursement reference rate of $721.17, this hospital’s rate is 1.96x the Medicare baseline. Located in 7600 Better Way, Frisco, TX.

Cash / Self-Pay

$1,465

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,416

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: $1,465 (203%)

Insurance Median: $1,416 (196%)

Cash: $1,465 (203% of Medicare)

Ins. Median: $1,416 (196% 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
Superior Health Plan	$342 - $664	47%
Baylor Scott & White Health Plan	$601 - $1,465	83%
Aetna	$632 - $3,901	88%
Humana	$632 - $1,709	88%
Corvel	$663	92%
Prime Health Services	$663	92%
American Health Plan	$664	92%
Blue Cross Blue Shield	$664 - $2,113	92%
Healthspring	$664	92%
Procare Advantage	$664	92%
UnitedHealthcare	$727 - $2,960	101%
Cigna	$1,204 - $4,042	167%
Ambetter / Centene	$1,309	182%
Employers Health Network	$1,343	186%
Quiktrip	$1,343	186%
University of Mary Hardin-Baylor	$1,416	196%
Imagine Health	$1,529	212%
Curative	$1,587	220%
Healthsmart	$1,642 - $1,831	228%
First Health	$1,709	237%
Private Health Care System	$1,831	254%

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 $1,465.
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 and White Medical Center Frisco at Pg 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.