CMS Price Transparency Data

Colorectal cancer screening

Facility: Seton Medical Center Harker Heights

Billing Code: G0010 (HCPCS)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: G0010
  • Insurance Median: $76
  • Cash Discount Price: $15
  • vs. Medicare Baseline: 1.59x Medicare
The contracted insurance negotiated median rate for a Colorectal cancer screening at Seton Medical Center Harker Heights is $76. 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 1.59x the Medicare baseline. Located in 850 W Central Texas Expressway, Harker Heights, TX.
Cash / Self-Pay
$15

Average discount available for prompt cash payment at this facility.

Insurance Median
$76

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: $76 (159%)
Cash: $15 (31% of Medicare)
Ins. Median: $76 (159% 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.

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 $26 - $112 54%
Healthscope Benefits [2290] $27 56%
UnitedHealthcare $27 - $59 56%
Healthcare Highways [2210] $59 123%
Medicaid / KanCare $59 - $163 123%
Oncology Patient Assistance Programs [2295] $59 123%
Selecthealth [3740] $59 123%
Web Tpa [2115] $59 123%
Cigna $69 - $132 144%
American Postal Workers Union [1070] $72 151%
Aetna $81 - $87 169%
First Health [1375] $87 182%
Mailhandlers [1595] $87 182%
First Care Commercial [1371] $114 238%

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