CMS Price Transparency Data

Flu vaccine injection

Facility: Seton Medical Center Harker Heights

Billing Code: G0008 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0008
Insurance Median: $59
Cash Discount Price: $15
vs. Medicare Baseline: 1.23x Medicare

The contracted insurance negotiated median rate for a Flu vaccine injection at Seton Medical Center Harker Heights is $59. 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 1.23x 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

$59

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: $59 (123%)

Cash: $15 (31% of Medicare)

Ins. Median: $59 (123% 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.

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
Medicaid / KanCare	$10 - $163	21%
Blue Cross Blue Shield	$26 - $112	54%
Healthscope Benefits [2290]	$27	56%
UnitedHealthcare	$27 - $59	56%
Aetna	$28 - $87	59%
Bell County Indigent Health Svc [3530]	$29	61%
Healthcare Highways [2210]	$59	123%
Oncology Patient Assistance Programs [2295]	$59	123%
Selecthealth [3740]	$59	123%
Web Tpa [2115]	$59 - $122	123%
Oscar Exchange [6080]	$66	138%
Cigna	$69 - $132	144%
American Postal Workers Union [1070]	$72	151%
First Health [1375]	$87	182%
Mailhandlers [1595]	$87	182%
First Care Commercial [1371]	$114	238%
Allied Benefit Systems Inc [1030]	$122	255%

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 $15.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: G0008.

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 G0008.
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.