CMS Price Transparency Data

Flu vaccine injection

Facility: Lewisgale Hospital Pulaski

Billing Code: G0008 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0008
Insurance Median: $136
Cash Discount Price: $276
vs. Medicare Baseline: 2.84x Medicare

The contracted insurance negotiated median rate for a Flu vaccine injection at Lewisgale Hospital Pulaski is $136. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $276. Compared to the federal Medicare reimbursement reference rate of $47.84, this hospital’s rate is 2.84x the Medicare baseline. Located in 2400 Lee Highway, Pulaski, VA.

Cash / Self-Pay

$276

Average discount available for prompt cash payment at this facility.

Insurance Median

$136

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: $276 (577%)

Insurance Median: $136 (284%)

Cash: $276 (577% of Medicare)

Ins. Median: $136 (284% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 284% of the Medicare baseline (a markup of 184%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Lifeworks	$17 - $74	36%
Universal Healthcare Group	$19 - $86	40%
United	$21 - $175	44%
Virginia Health Network	$30 - $276	63%
Aetna	$31 - $175	65%
Cigna	$36 - $161	75%
Greenvbrier Sporting Club	$52 - $233	109%
Corvel	$63 - $280	132%
Richfield Nursing Center	$65 - $292	136%
Richfield Retirement Community	$65 - $292	136%
Multiplan	$67 - $300	140%
One Health Plan	$70 - $311	146%
Occunet Workers Comp	$70 - $311	146%
Graham-White Manufacturing	$70 - $311	146%
Community Care Network	$70 - $311	146%
Patients Choice	$77 - $342	161%
Star Transportation	$78 - $350	163%
PHCS	$78 - $350	163%
American Postal Workers Union	$78 - $350	163%
4Most	$78 - $350	163%

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 $276.
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 Lewisgale Hospital Pulaski 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.