CMS Price Transparency Data

Flu vaccine injection

Facility: Ira Davenport Memorial Hospital

Billing Code: G0008 (HCPCS)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: G0008
  • Insurance Median: $40
  • Cash Discount Price: $22
  • vs. Medicare Baseline: 0.84x Medicare
The contracted insurance negotiated median rate for a Flu vaccine injection at Ira Davenport Memorial Hospital is $40. 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 0.84x the Medicare baseline. Located in 7571 State Route 54, Bath, NY.
Cash / Self-Pay
$22

Average discount available for prompt cash payment at this facility.

Insurance Median
$40

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: $40 (84%)
Cash: $22 (46% of Medicare)
Ins. Median: $40 (84% 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
Blue Cross Blue Shield $14 - $196 29%
Fidelis Care - Exchange - All Plans $17 - $35 36%
Geisinger - All Plans $18 - $38 38%
Cigna $19 - $40 40%
Mvp Health Plan - All Plans $19 - $40 40%
Independent Health - All Plans $20 - $42 42%
UPMC - All Plans $21 - $44 44%
Pomco Inc - All Plans $22 - $46 46%
Aetna $23 - $58 48%
Empire $27 - $32 56%
Emblem Health - All Plans $27 - $57 56%
Humana $28 - $58 59%
Emblem/Ghi $29 - $60 61%
Martins Point - All Plans $31 - $64 65%
UnitedHealthcare $33 - $68 69%
Fidelis $50 105%
Tricare $55 115%
Amerihealth Caritas McR Adv - All Plans $55 115%
Healthnow - All Plans $102 - $212 213%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 7571 State Route 54, Bath, NY 14810
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Rural Emergency Hospital