CMS Price Transparency Data

Flu vaccine injection

Facility: Crossing Rivers Health Medical Center

Billing Code: G0008 (HCPCS)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: G0008
  • Insurance Median: $55
  • Cash Discount Price: $57
  • vs. Medicare Baseline: 1.15x Medicare
The contracted insurance negotiated median rate for a Flu vaccine injection at Crossing Rivers Health Medical Center is $55. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $57. Compared to the federal Medicare reimbursement reference rate of $47.84, this hospital’s rate is 1.15x the Medicare baseline. Located in 37868 Us Hwy 18, Prairie Du Chien, WI.
Cash / Self-Pay
$57

Average discount available for prompt cash payment at this facility.

Insurance Median
$55

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: $57 (119%)
Insurance Median: $55 (115%)
Cash: $57 (119% of Medicare)
Ins. Median: $55 (115% 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
UnitedHealthcare $20 - $57 42%
Blue Cross Blue Shield $24 - $55 50%
Humana $24 - $55 50%
Amerigroup McR Adv $24 50%
Security Hlth McR Adv $24 50%
Quartz - All Plans $46 96%
Medica Comm - All Other Plans $54 113%
Dean Health Plan - All Plans $54 113%
Medica Hp Solutions $54 113%
Security Hlth Comm - All Other Plans $54 113%
Health Partners - All Plans $55 115%
Medical Associates Hp - All Plans $55 115%
First Health - All Plans $55 115%
Wps - All Plans $55 115%
Preferred Health Choice - All Plans $55 115%
Group Health Co-Op - All Plans $55 115%
Wea Provider Ntwrk - All Plans $55 115%
Health Trad Hp - All Plans $55 115%
Cigna $55 115%
Geha - All Plans $55 115%
Amerigroup McAid-All Other Plans $91 190%
Iowa Total Care McAid-All Plans $91 190%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 37868 Us Hwy 18, Prairie Du Chien, WI 53821
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals