CMS Price Transparency Data

Pneumococcal vaccine

Facility: Seton Medical Center Harker Heights

Billing Code: 90732 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90732
Insurance Median: $203
Cash Discount Price: $52
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Pneumococcal vaccine at Seton Medical Center Harker Heights is $203. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $52. 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

$52

Average discount available for prompt cash payment at this facility.

Insurance Median

$203

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	$36 - $559	N/A
Blue Cross Blue Shield	$91 - $386	N/A
Healthscope Benefits [2290]	$94	N/A
UnitedHealthcare	$94 - $203	N/A
Aetna	$96 - $299	N/A
Bell County Indigent Health Svc [3530]	$99	N/A
Ambetter / Centene	$135	N/A
Medicare (plans)	$135	N/A
Triwest [3750]	$135	N/A
Humana	$137 - $376	N/A
Healthcare Highways [2210]	$203	N/A
Oncology Patient Assistance Programs [2295]	$203	N/A
Selecthealth [3740]	$203	N/A
Web Tpa [2115]	$203 - $417	N/A
Oscar Exchange [6080]	$227	N/A
Enablecomp [1350]	$271	N/A
Worker's Comp [2125]	$271	N/A
First Health [1375]	$299	N/A
Mailhandlers [1595]	$299	N/A
First Care Commercial [1371]	$391	N/A
Allied Benefit Systems Inc [1030]	$417	N/A
Imagine Health [6025]	$447	N/A
Cigna	$451	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 $52.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: 90732.

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 90732.
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.