Flu vaccine injection
Facility: Physicians Care Surgical Hospital
Billing Code: G0008 (HCPCS)
- CPT Billing Code: G0008
- Insurance Median: $12,568
- Cash Discount Price: $5,662
- vs. Medicare Baseline: 262.71x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 26271% of the Medicare baseline (a markup of 26171%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Connecticare | $42 - $19,575 | 88% |
| Geha | $52 - $23,230 | 109% |
| Healthez | $52 - $23,230 | 109% |
| Allied Benefits Systems | $52 - $23,230 | 109% |
| Meritain Health | $52 - $23,230 | 109% |
| Trustmark | $52 - $23,230 | 109% |
| Aetna | $52 - $23,230 | 109% |
| Lucent Health | $52 - $23,230 | 109% |
| Allied Benefit Systems | $52 - $23,230 | 109% |
| Ag Administrators Inc | $52 - $23,230 | 109% |
| Premier Care Network | $52 - $23,230 | 109% |
| Marpai Health | $52 - $23,230 | 109% |
| Continental Benefits | $52 - $23,230 | 109% |
| Ag Administrators | $52 - $23,230 | 109% |
| Coventry | $52 - $23,230 | 109% |
| Blue Cross Blue Shield | $84 - $23,941 | 176% |
| Highmark | $84 - $23,941 | 176% |
| Vibra Health Plan | $1,383 - $12,772 | 2891% |
| Pcsh Aarp | $1,383 - $12,772 | 2891% |
| Gpm Health and Life Insurance Mc Supplement | $1,383 - $12,772 | 2891% |
| Devon Health Services | $1,383 - $12,772 | 2891% |
| Cigna | $1,383 - $18,977 | 2891% |
| UnitedHealthcare | $1,383 - $27,099 | 2891% |
| Tricare | $1,383 - $12,772 | 2891% |
| Shenandoah Life | $1,383 - $12,772 | 2891% |
| Personal Choice 65 | $1,383 - $12,363 | 2891% |
| Unified Health Services | $1,383 - $12,772 | 2891% |
| Medicare (plans) | $1,383 - $12,772 | 2891% |
| Humana | $1,383 - $12,772 | 2891% |
| Ibc Security 65 | $1,383 - $12,363 | 2891% |
| Keystone 65 HMO | $1,383 - $12,772 | 2891% |
| Aarp | $1,383 - $12,772 | 2891% |
| Personal Choice | $1,494 - $18,753 | 3123% |
| Carefirst Administrators | $1,494 - $18,753 | 3123% |
| Ibc - Local | $1,494 - $18,753 | 3123% |
| Keystone Healthplan East | $1,494 - $18,753 | 3123% |
| Amerihealth New Jersey HMO | $1,494 - $18,753 | 3123% |
| Independence Bc | $1,494 - $18,753 | 3123% |
| Keystone Direct POS | $1,494 - $18,753 | 3123% |
| Empire Plan | $1,494 - $18,753 | 3123% |
| Ibc Local | $1,494 - $18,753 | 3123% |
| Ibc 2021 | $1,494 - $18,753 | 3123% |
| Pcsh Ibc | $1,494 - $18,753 | 3123% |
| Keystone HMO | $1,494 - $18,753 | 3123% |
| Independence Administrators | $1,494 - $18,753 | 3123% |
| Ibc | $1,494 - $18,753 | 3123% |
| Independence Federal | $1,494 - $18,753 | 3123% |
| Regence Blue Shield | $1,494 - $18,753 | 3123% |
| Amerihealth Administrators | $1,494 - $18,753 | 3123% |
| Horizon of New Jersey | $1,494 - $18,753 | 3123% |
| Keystone First Vip Choice | $2,850 | 5957% |
| Straight Access | $2,850 | 5957% |
| PA Health and Wellness | $2,850 | 5957% |
| Medicaid / KanCare | $2,850 | 5957% |
| Keystone First | $2,850 | 5957% |
| Keystone First Healthplan | $2,850 | 5957% |
| Oxford Life Insurance Company | $2,935 - $27,099 | 6135% |
| Allsavers | $2,935 - $27,099 | 6135% |
| Surest | $2,935 - $27,099 | 6135% |
| Golden Rule Op | $2,935 - $27,099 | 6135% |
| Oxford Health Plan | $2,935 - $27,099 | 6135% |
| Healthgram | $18,977 | 39668% |
| Health Partners | $18,977 | 39668% |
| Cwi Benefits | $18,977 | 39668% |
| Freedom Life Insurance Company | $18,977 | 39668% |
| Apwu | $18,977 | 39668% |
| Sana Benefits | $18,977 | 39668% |
| Loomis | $18,977 | 39668% |
| Nalc Health | $18,977 | 39668% |
| UPMC | $19,295 | 40332% |
| Central PA Teamsters | $21,231 | 44379% |