Flu vaccine injection
Facility: Watsonville Community Hospital
Billing Code: G0008 (HCPCS)
- CPT Billing Code: G0008
- Insurance Median: $128
- Cash Discount Price: $111
- vs. Medicare Baseline: 2.68x 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 268% of the Medicare baseline (a markup of 168%). 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 |
|---|---|---|
| Victim Compensation Plan | $26 - $188 | 54% |
| Medicruz | $26 - $34 | 54% |
| UnitedHealthcare | $29 - $113 | 61% |
| Blue Cross Blue Shield | $29 - $168 | 61% |
| Aetna | $29 - $154 | 61% |
| Pacificare HMO | $29 - $113 | 61% |
| Great-West/Phcs | $29 - $132 | 61% |
| Blue Shield HMO | $29 - $38 | 61% |
| Cigna | $29 - $132 | 61% |
| Secure Horizons Dign HMO | $29 - $38 | 61% |
| Health Net Pmg HMO | $29 - $118 | 61% |
| Western Growers Trust/Bc | $58 - $168 | 121% |
| Pinnacle Claims Tpa/Bc | $58 - $168 | 121% |
| Nx Health Network | $70 | 146% |
| Western Health Advantage | $72 - $94 | 151% |
| Self Pay | $86 - $113 | 180% |
| Pacificare PPO | $86 - $113 | 180% |
| Health Net Smartcare Netw | $86 - $113 | 180% |
| Health Net Canopycare HMO | $90 - $118 | 188% |
| Health Net of California | $90 - $118 | 188% |
| Health Net Blue and Gold | $90 - $118 | 188% |
| Transwestern | $101 - $150 | 211% |
| Geha (Ccn) | $101 - $150 | 211% |
| Adventist Risk Management | $101 - $150 | 211% |
| First Health | $101 - $150 | 211% |
| Private Healthcare System | $112 - $147 | 234% |
| Multiplan Inc PPO | $112 - $147 | 234% |
| Salinas Valley Mem Hops | $122 - $160 | 255% |
| Coastal Healthcare Admin | $122 - $169 | 255% |
| Carpenters H&W Trust | $125 - $168 | 261% |
| Operating Engineers | $125 - $168 | 261% |
| City of Wats/Pinnacle Clm | $125 - $168 | 261% |
| Laborers Health & Welfare | $125 - $168 | 261% |
| Monterey Bay Pub Emp Trst | $125 - $168 | 261% |
| Teamsters Benefit Trust | $125 - $168 | 261% |
| Claims Management Wc | $125 - $168 | 261% |
| Sheet Metal Workers | $125 - $168 | 261% |
| Robert Kennedy/Ccn | $125 - $168 | 261% |
| Calif Ironworkers Field | $125 - $168 | 261% |
| State Compensation Fund | $125 - $168 | 261% |
| Delta Health Systems | $125 - $168 | 261% |
| Aarp | $144 - $188 | 301% |
| State Farm Ins | $144 - $188 | 301% |
| Miscellaneous Auto | $144 - $188 | 301% |
| Zenith National Ins | $144 - $188 | 301% |
| Miscellaneous Insurance | $144 - $188 | 301% |
| Prucare Pmg HMO | $144 - $188 | 301% |
| Farmers Insurance | $144 - $188 | 301% |
| Bankers Life & Casualty | $144 - $188 | 301% |
| Travelers Insurance | $144 - $188 | 301% |
| Sutter Health Plus | $144 - $188 | 301% |
| United Administrative | $144 - $188 | 301% |
| Wholesale Beer Distributo | $144 - $188 | 301% |
| Humana | $144 - $188 | 301% |
| Well Path | $144 - $188 | 301% |
| Prucare Pmg POS | $144 - $188 | 301% |
| North Calif Bakery Driver | $144 - $188 | 301% |
| Aaa | $144 - $188 | 301% |
| Apwu Health Plan | $144 - $188 | 301% |
| Allstate | $144 - $188 | 301% |
| Physicians Mutual | $144 - $188 | 301% |