CMS Price Transparency Data

Hospital observation (per hour)

Facility: Seton Medical Center Harker Heights

Billing Code: G0378 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0378
Insurance Median: $42
Cash Discount Price: $9
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Hospital observation (per hour) at Seton Medical Center Harker Heights is $42. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $9. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 850 W Central Texas Expressway, Harker Heights, TX.

Cash / Self-Pay

Average discount available for prompt cash payment at this facility.

Insurance Median

$42

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

N/A

Standard federal government reimbursement rate for this code.

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	$6 - $36	N/A
Blue Cross Blue Shield	$16 - $69	N/A
Aetna	$17 - $67	N/A
Healthscope Benefits [2290]	$17	N/A
UnitedHealthcare	$17 - $55	N/A
Bell County Indigent Health Svc [3530]	$18	N/A
Healthcare Highways [2210]	$36	N/A
Oncology Patient Assistance Programs [2295]	$36	N/A
Selecthealth [3740]	$36	N/A
Web Tpa [2115]	$36 - $74	N/A
American Postal Workers Union [1070]	$42	N/A
Cigna	$42 - $81	N/A
Geha [1415]	$55	N/A
Humana	$61	N/A
First Health [1375]	$67	N/A
Mailhandlers [1595]	$67	N/A
First Care Commercial [1371]	$70	N/A
Allied Benefit Systems Inc [1030]	$74	N/A

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 $9.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: G0378.

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 G0378.
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.