CMS Price Transparency Data

Flu vaccine injection

Facility: Licking Memorial Hospital

Billing Code: G0008 (HCPCS)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: G0008
  • Insurance Median: $41
  • Cash Discount Price: $46
  • vs. Medicare Baseline: 0.86x Medicare
The contracted insurance negotiated median rate for a Flu vaccine injection at Licking Memorial Hospital is $41. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $46. Compared to the federal Medicare reimbursement reference rate of $47.84, this hospital’s rate is 0.86x the Medicare baseline. Located in 1320 West Main Street, Newark, OH.
Cash / Self-Pay
$46

Average discount available for prompt cash payment at this facility.

Insurance Median
$41

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: $46 (96%)
Insurance Median: $41 (86%)
Cash: $46 (96% of Medicare)
Ins. Median: $41 (86% 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
Medical Mutual [100114] $25 - $38 52%
Blue Cross Blue Shield $29 - $45 61%
Medben [700068] $32 - $45 67%
Benicomp [70090] $34 71%
Consociate Health 6 Degrees [100059] $37 77%
Consociate Health [100029] $37 77%
Meritain [100063] $38 79%
Aetna $38 - $45 79%
Gravie Administrative Services [100165] $38 79%
Optima [700069] $38 79%
Webtpa [100127] $38 79%
Allied Benefit Systems [100015] $38 79%
Geha [100039] $38 79%
Trustmark Small Business Benefits [100263] $38 79%
UnitedHealthcare $39 - $45 82%
Surest [100016] $39 82%
Healthscope [100157] $39 82%
United Medical Resources [700071] $39 82%
Osu Prime Care [100254] $41 86%
Great West Life [700064] $41 86%
Cigna $41 - $45 86%
Ohio Healthy Luminare Health [100264] $41 86%
National Association of Letter Carriers [100067] $41 86%
Ohio Healthy [100255] $41 86%
The Health Plan [100261] $41 86%
Quality Care Partners [70006802] $41 86%
Ohio PPO Connect [70006801] $41 86%
Coresource [100002] $41 - $46 86%
American Postal Workers [100089] $41 86%
Wellfleet Group, LLC [100164] $41 86%
Antidote Health Plan of Ohio [70006803] $41 86%
Coventry [100010] $42 88%
Pan American Life [700070] $42 88%
Ohio Health Choice [100109] $44 92%
Tricare $44 92%
Wellcare By Allwell [450104] $45 94%
Medicare (plans) $45 94%
Administrative Concepts [100006] $45 94%
Carefactor [100087] $45 94%
Humana $45 94%
Reliance Standard-Asrm [100258] $45 94%
Philadelphia American Life [100260] $45 - $46 94%
Veterans Administration [100068] $45 94%
Champva [500001] $45 94%
Molina Marketplace [100106] $72 151%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1320 West Main Street, Newark, OH 43055
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals