CMS Price Transparency Data

Drug screening test

Facility: Seton Medical Center Harker Heights

Billing Code: G0480 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0480
Insurance Median: $172
Cash Discount Price: $36
vs. Medicare Baseline: 1.50x Medicare

The contracted insurance negotiated median rate for a Drug screening test at Seton Medical Center Harker Heights is $172. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $36. Compared to the federal Medicare reimbursement reference rate of $114.43, this hospital’s rate is 1.50x the Medicare baseline. Located in 850 W Central Texas Expressway, Harker Heights, TX.

Cash / Self-Pay

$36

Average discount available for prompt cash payment at this facility.

Insurance Median

$172

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$114.43

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $114.43 (100%)

Cash / Self-Pay: $36 (31%)

Insurance Median: $172 (150%)

Cash: $36 (31% of Medicare)

Ins. Median: $172 (150% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $114.43 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
Healthscope Benefits [2290]	$65	57%
UnitedHealthcare	$65 - $142	57%
Aetna	$67 - $208	59%
Healthcare Highways [2210]	$142	124%
Medicaid / KanCare	$142 - $389	124%
Oncology Patient Assistance Programs [2295]	$142	124%
Selecthealth [3740]	$142	124%
Web Tpa [2115]	$142 - $290	124%
Oscar Exchange [6080]	$158	138%
Cigna	$165 - $314	144%
American Postal Workers Union [1070]	$172	150%
First Health [1375]	$208	182%
Mailhandlers [1595]	$208	182%
Humana	$238 - $262	208%
Blue Cross Blue Shield	$269	235%
First Care Commercial [1371]	$272	238%
Allied Benefit Systems Inc [1030]	$290	253%

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 $36.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: G0480.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Seton Medical Center Harker Heights is fully in-network.
Ask your insurer if "Prior Authorization" is required for HCPCS code G0480.
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.