CMS Price Transparency Data

Blood test, glucose (blood sugar)

Facility: Seton Medical Center Harker Heights

Billing Code: 82947 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82947
  • Insurance Median: $22
  • Cash Discount Price: $6
  • vs. Medicare Baseline: 5.60x Medicare
The contracted insurance negotiated median rate for a Blood test, glucose (blood sugar) at Seton Medical Center Harker Heights is $22. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6. Compared to the federal Medicare reimbursement reference rate of $3.93, this hospital’s rate is 5.60x the Medicare baseline. Located in 850 W Central Texas Expressway, Harker Heights, TX.
Cash / Self-Pay
$6

Average discount available for prompt cash payment at this facility.

Insurance Median
$22

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$3.93

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $3.93 (100%)
Cash / Self-Pay: $6 (153%)
Insurance Median: $22 (560%)
Cash: $6 (153% of Medicare)
Ins. Median: $22 (560% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $3.93 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 560% of the Medicare baseline (a markup of 460%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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
Healthscope Benefits [2290] $10 254%
UnitedHealthcare $10 - $22 254%
Aetna $11 - $33 280%
Healthcare Highways [2210] $22 560%
Medicaid / KanCare $22 - $61 560%
Oncology Patient Assistance Programs [2295] $22 560%
Selecthealth [3740] $22 560%
Web Tpa [2115] $22 - $46 560%
Oscar Exchange [6080] $25 636%
Humana $37 941%
Blue Cross Blue Shield $42 1069%
First Care Commercial [1371] $43 1094%
Allied Benefit Systems Inc [1030] $46 1170%
Cigna $49 1247%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 850 W Central Texas Expressway, Harker Heights, TX 76548
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals