CMS Price Transparency Data

Flu vaccine injection

Facility: Saint Mary's Regional Medical Center

Billing Code: G0008 (HCPCS)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: G0008
  • Insurance Median: $67
  • Cash Discount Price: $50
  • vs. Medicare Baseline: 1.40x Medicare
The contracted insurance negotiated median rate for a Flu vaccine injection at Saint Mary's Regional Medical Center is $67. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $50. Compared to the federal Medicare reimbursement reference rate of $47.84, this hospital’s rate is 1.40x the Medicare baseline. Located in 235 W 6Th St, Reno, NV.
Cash / Self-Pay
$50

Average discount available for prompt cash payment at this facility.

Insurance Median
$67

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: $50 (105%)
Insurance Median: $67 (140%)
Cash: $50 (105% of Medicare)
Ins. Median: $67 (140% 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.

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
Access To Healthcare Network $16 33%
Blue Cross Blue Shield $51 - $98 107%
Saint Mary Health Plan $51 - $59 107%
Tricare $51 107%
Health Plan of Nevada $51 107%
Silver Summit $51 - $89 107%
Aetna $51 107%
Sierra $51 107%
Triwest $51 107%
Molina Healthcare of Nv $51 107%
Medicare (plans) $51 107%
UnitedHealthcare $52 109%
Alignment $52 109%
PAM $59 123%
Veterans Evaluation Service Ves $64 134%
Naphcare $71 148%
Home Town Test $71 148%
Employer Direct $71 148%
Asserta Health $76 159%
Imperial Insurance Company $76 - $94 159%
Occunet $87 - $102 182%
Nevada Health Partners $95 199%
6 Degrees $102 213%
Nv Preferred $108 - $116 226%
Custom Ink $111 232%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 235 W 6Th St, Reno, NV 89503
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals