CMS Price Transparency Data

Rabies immune globulin

Facility: Seton Medical Center Harker Heights

Billing Code: 90375 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90375
Insurance Median: $1,541
Cash Discount Price: $309
vs. Medicare Baseline: 5.60x Medicare

The contracted insurance negotiated median rate for a Rabies immune globulin at Seton Medical Center Harker Heights is $1,541. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $309. Compared to the federal Medicare reimbursement reference rate of $275.18, this hospital’s rate is 5.60x the Medicare baseline. Located in 850 W Central Texas Expressway, Harker Heights, TX.

Cash / Self-Pay

$309

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,541

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$275.18

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $275.18 (100%)

Cash / Self-Pay: $309 (112%)

Insurance Median: $1,541 (560%)

Cash: $309 (112% of Medicare)

Ins. Median: $1,541 (560% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $275.18 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 560% of the Medicare baseline (a markup of 460%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Blue Cross Blue Shield	$537 - $2,286	195%
Healthscope Benefits [2290]	$556	202%
UnitedHealthcare	$556 - $1,205	202%
Healthcare Highways [2210]	$1,205	438%
Medicaid / KanCare	$1,205 - $3,311	438%
Oncology Patient Assistance Programs [2295]	$1,205	438%
Selecthealth [3740]	$1,205	438%
Web Tpa [2115]	$1,205	438%
Aetna	$1,390 - $1,773	505%
American Postal Workers Union [1070]	$1,541	560%
Cigna	$1,541 - $2,675	560%
First Health [1375]	$1,773	644%
Mailhandlers [1595]	$1,773	644%
First Care Commercial [1371]	$2,317	842%

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 $309.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: 90375.

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 90375.
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.