CMS Price Transparency Data

Flu vaccine injection

Facility: Lovelace UNM Rehabilitation Hospital

Billing Code: G0008 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0008
Insurance Median: $66
Cash Discount Price: $22
vs. Medicare Baseline: 1.38x Medicare

The contracted insurance negotiated median rate for a Flu vaccine injection at Lovelace UNM Rehabilitation Hospital is $66. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $22. Compared to the federal Medicare reimbursement reference rate of $47.84, this hospital’s rate is 1.38x the Medicare baseline. Located in 505 Elm Street Ne, Albuquerque, NM.

Cash / Self-Pay

$22

Average discount available for prompt cash payment at this facility.

Insurance Median

$66

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: $22 (46%)

Insurance Median: $66 (138%)

Cash: $22 (46% of Medicare)

Ins. Median: $66 (138% 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%
Corvel Corp [2235]	$29	61%
Enablecomp [1350]	$30	63%
Worker's Comp [2125]	$30	63%
UnitedHealthcare	$35	73%
Healthscope Benefits [2290]	$35	73%
Zelis [2385]	$36	75%
Benefit Management [1175]	$36	75%
PHCS [1780]	$66	138%
Fmh Benefit Services [1390]	$66	138%
Pan American Life Insurance Co [1770]	$66	138%
Boon-Chapman [2375]	$66	138%
American Medical Security [2190]	$66	138%
Healthnet [1495]	$66	138%
Multiplan [1680]	$66	138%
Mutual of Omaha [1685]	$66	138%
National Telephone Cooperative [1700]	$66	138%
Coresource [1315]	$66	138%
Healthsmart [1505]	$66 - $68	138%
Healthcost Solutions [2415]	$66	138%
Kaiser Permanente [1560]	$66	138%
Employee Benefit Management Services [2445]	$66	138%
Coventry Healthcare [1320]	$66	138%
Trustmark [2030]	$66	138%
Emblem Health [2430]	$66	138%
Northamerica Administrators [1725]	$66	138%
First Health [1375]	$66	138%

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 $22.
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 UNM Rehabilitation 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.