CMS Price Transparency Data

Flu vaccine injection

Facility: Lovelace Women's Hospital

Billing Code: G0008 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0008
Insurance Median: $62
Cash Discount Price: $21
vs. Medicare Baseline: 1.30x Medicare

The contracted insurance negotiated median rate for a Flu vaccine injection at Lovelace Women's Hospital is $62. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $21. Compared to the federal Medicare reimbursement reference rate of $47.84, this hospital’s rate is 1.30x the Medicare baseline. Located in 4701 Montgomery Boulevard Ne, Albuquerque, NM.

Cash / Self-Pay

$21

Average discount available for prompt cash payment at this facility.

Insurance Median

$62

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: $21 (44%)

Insurance Median: $62 (130%)

Cash: $21 (44% of Medicare)

Ins. Median: $62 (130% 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
The Health Plan [2915]	$14	29%
UnitedHealthcare	$18	38%
Healthscope Benefits [2290]	$18	38%
Enablecomp [1350]	$28	59%
Worker's Comp [2125]	$28	59%
Corvel Corp [2235]	$28	59%
Presbyterian Health Plan [1830]	$34	71%
Zelis [2385]	$34	71%
Benefit Management [1175]	$34	71%
Magellan Behavioral Commercial [2895]	$34	71%
PHCS [1780]	$62	130%
Fmh Benefit Services [1390]	$62	130%
Healthcost Solutions [2415]	$62	130%
Mutual of Omaha [1685]	$62	130%
National Telephone Cooperative [1700]	$62	130%
Healthnet [1495]	$62	130%
Pan American Life Insurance Co [1770]	$62	130%
Multiplan [1680]	$62	130%
Northamerica Administrators [1725]	$62	130%
Emblem Health [2430]	$62	130%
Healthsmart [1505]	$62 - $64	130%
Allied National Global Care [1035]	$62	130%
Employee Benefit Management Services [2445]	$62	130%
Allied Benefit Systems Inc [1030]	$62	130%
Kaiser Permanente [1560]	$62	130%
American Medical Security [2190]	$62	130%
First Health [1375]	$62	130%
Boon-Chapman [2375]	$62	130%
Coventry Healthcare [1320]	$62	130%
Coresource [1315]	$62	130%
Aetna	$62	130%
Trustmark [2030]	$62	130%
Administrative Concepts [1005]	$62	130%

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 $21.
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 Lovelace Women's Hospital 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.