CMS Price Transparency Data

Trauma team activation

Facility: Seton Medical Center Harker Heights

Billing Code: G0390 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0390
Insurance Median: $7,450
Cash Discount Price: $1,406
vs. Medicare Baseline: 5.47x Medicare

The contracted insurance negotiated median rate for a Trauma team activation at Seton Medical Center Harker Heights is $7,450. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,406. Compared to the federal Medicare reimbursement reference rate of $1,361.78, this hospital’s rate is 5.47x the Medicare baseline. Located in 850 W Central Texas Expressway, Harker Heights, TX.

Cash / Self-Pay

$1,406

Average discount available for prompt cash payment at this facility.

Insurance Median

$7,450

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$1,361.78

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $1,361.78 (100%)

Cash / Self-Pay: $1,406 (103%)

Insurance Median: $7,450 (547%)

Cash: $1,406 (103% of Medicare)

Ins. Median: $7,450 (547% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $1,361.78 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 547% of the Medicare baseline (a markup of 447%). 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	$2,443 - $10,401	179%
Healthscope Benefits [2290]	$2,530	186%
UnitedHealthcare	$2,530 - $8,349	186%
Healthcare Highways [2210]	$5,482	403%
Medicaid / KanCare	$5,482	403%
Oncology Patient Assistance Programs [2295]	$5,482	403%
Selecthealth [3740]	$5,482	403%
Web Tpa [2115]	$5,482	403%
Cigna	$6,395 - $12,172	470%
American Postal Workers Union [1070]	$6,648	488%
Aetna	$7,450 - $8,068	547%
First Health [1375]	$8,068	592%
Mailhandlers [1595]	$8,068	592%
Geha [1415]	$8,349	613%
First Care Commercial [1371]	$10,542	774%

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 $1,406.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: G0390.

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 G0390.
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.