CMS Price Transparency Data
Flu vaccine injection
Facility: St Francis Hospital & Medical Center
Billing Code: G0008 (HCPCS)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: G0008
- Insurance Median: $78
- Cash Discount Price: $86
- vs. Medicare Baseline: 1.63x Medicare
The contracted insurance negotiated median rate for a Flu vaccine injection at St Francis Hospital & Medical Center is $78. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $86. Compared to the federal Medicare reimbursement reference rate of $47.84, this hospital’s rate is 1.63x the Medicare baseline. Located in 114 Woodland Street & 500 Blue Hills Avenue, Hartford, CT.
Cash / Self-Pay
$86
Average discount available for prompt cash payment at this facility.
Insurance Median
$78
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: $86 (180%)
Insurance Median: $78 (163%)
Cash: $86 (180% of Medicare)
Ins. Median: $78 (163% 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 |
|---|---|---|
| Connecticare | $15 - $171 | 31% |
| Medicaid / KanCare | $17 - $78 | 36% |
| Aetna | $20 - $127 | 42% |
| Coventry | $20 | 42% |
| First Health | $20 | 42% |
| Guardian | $20 | 42% |
| Meritain | $20 - $127 | 42% |
| Blue Cross Blue Shield | $22 - $195 | 46% |
| Bcn Domestic | $29 - $195 | 61% |
| Blue Benefit Administrators of Massachusetts | $29 - $195 | 61% |
| Blue Care Network | $29 - $195 | 61% |
| Blue Distinction Transplant | $29 - $195 | 61% |
| Blue Shield - Ca | $29 - $195 | 61% |
| Blue Shield - Id (Regence) | $29 - $195 | 61% |
| Blue Shield - Ny Highmark Northeastern | $29 - $195 | 61% |
| Blue Shield - Ny Highmark Western | $29 - $195 | 61% |
| Blue Shield - PA (Highmark) | $29 - $195 | 61% |
| Blue Shield - Wa (Regence) | $29 - $195 | 61% |
| Health Choices | $29 - $195 | 61% |
| Kaiser Domestic | $29 - $195 | 61% |
| Pre-Employment | $29 - $195 | 61% |
| Wc Domestic | $29 - $195 | 61% |
| Champva | $34 | 71% |
| Humana | $34 - $35 | 71% |
| Tricare | $34 | 71% |
| Triwest Health Alliance | $34 | 71% |
| Veterans Eval Services | $34 | 71% |
| Align Senior Care | $35 | 73% |
| Ally Align Care Adv | $35 | 73% |
| American Health Advantage of Idaho | $35 | 73% |
| American Health Plan | $35 | 73% |
| Aurora Special Needs | $35 | 73% |
| Blue Care Network Advantage | $35 | 73% |
| Blue Shield - De (Highmark) Medciare Advantage | $35 | 73% |
| Care Dimensions | $35 | 73% |
| Care Improvement Plus | $35 | 73% |
| Care Resources Pace | $35 | 73% |
| Careplus Health Plans | $35 | 73% |
| Cca - Zing Health | $35 | 73% |
| Central Valley Medical Services Corp Pace | $35 | 73% |
| Champion Health Plan McR Advantage | $35 | 73% |
| Cigna | $35 - $137 | 73% |
| Clear Spring Health | $35 | 73% |
| Clover Health | $35 | 73% |
| Commonwealth Care Alliance | $35 - $38 | 73% |
| Community Pace at Home | $35 | 73% |
| Eddy Senior Care-Pace | $35 | 73% |
| Eddy Seniorcare Pace | $35 | 73% |
| Elementcare | $35 | 73% |
| Evercare | $35 | 73% |
| Everence | $35 | 73% |
| Gateway Health Plan | $35 | 73% |
| Genesys Pace of Genesee County | $35 | 73% |
| Georgia Health Advantage | $35 | 73% |
| Gold Advantage | $35 | 73% |
| Gpa Croell Redi Mix | $35 | 73% |
| Health America Advantra | $35 | 73% |
| Highmark Health Options Dual Plan | $35 | 73% |
| Hope Select Pace | $35 | 73% |
| Horizon Nj Total Care | $35 | 73% |
| Hudson Headwaters Pace | $35 | 73% |
| Huron Valley Pace | $35 | 73% |
| Innovative Integrated Health Community Plans | $35 | 73% |
| Iowa Health Advantage | $35 | 73% |
| Johns Hopkins Advantage Md | $35 | 73% |
| Lasso Healthcare Msa | $35 | 73% |
| Life St Marys Pace | $35 | 73% |
| Lifecircles Pace | $35 | 73% |
| Longevity Health Plan | $35 | 73% |
| Longevity IPA of Michigan LLC Health Plan Isnp | $35 | 73% |
| Martins Point Generations Advantage | $35 | 73% |
| Mass General Brigham Health Plan | $35 | 73% |
| Mass General Brigham McR Adv | $35 | 73% |
| Medicare (plans) | $35 - $58 | 73% |
| Medipak Advantage | $35 | 73% |
| Mercy Life | $35 | 73% |
| Mercyone Cedar Valley | $35 | 73% |
| Meridian Complete | $35 | 73% |
| Michigan Complete Health | $35 | 73% |
| Nascentia Health Plus | $35 | 73% |
| New Centry Health Careplus | $35 | 73% |
| Osu Prime Care Advantage | $35 | 73% |
| Pace Cny | $35 | 73% |
| Pace Iowa Immanuel Pathways | $35 | 73% |
| Pace Southeast | $35 | 73% |
| Pace of Southwest Michigan | $35 | 73% |
| Pace-Trinity Health | $35 | 73% |
| Peak Pace Solutions | $35 | 73% |
| Perennial Advantage | $35 | 73% |
| Preferred Care Partners | $35 | 73% |
| Presbyterian Senior Plan | $35 | 73% |
| Provider Partners Health Plan of Illinois | $35 | 73% |
| Provider Partners Health Plan of Indiana | $35 | 73% |
| Pruitthealth Premier | $35 | 73% |
| Reliance Community Care Partners Care Resources Pace | $35 | 73% |
| Rx Allwin | $35 | 73% |
| Rx Grane Grnmedd | $35 | 73% |
| Rx Retiree Rx Care | $35 | 73% |
| Scan Health Plan McR IPA Meritage Oon | $35 | 73% |
| Secure Horizons Ma Pffs | $35 | 73% |
| Serenity Pace | $35 | 73% |
| Siouxland Pace | $35 | 73% |
| Solis Health Plans | $35 | 73% |
| Sunnyview-Pace Finance Dept | $35 | 73% |
| Texan Plus | $35 | 73% |
| The Health Plan | $35 | 73% |
| Thome Pace | $35 | 73% |
| Todays Options | $35 | 73% |
| Tribute Health Plans | $35 | 73% |
| Um Health Advantage | $35 | 73% |
| Union Health Service | $35 | 73% |
| UnitedHealthcare | $35 - $134 | 73% |
| Welbe Health | $35 | 73% |
| Wellmed | $35 | 73% |
| Us Family Health Plan | $36 | 75% |
| Veterans Administration | $36 | 75% |
| Cca Senior Care Options | $37 - $56 | 77% |
| Centivo | $38 - $112 | 79% |
| Fallon Health | $45 - $76 | 94% |
| Multiplan | $51 - $116 | 107% |
| Tufts Health Plan | $56 | 117% |
| Claimdoc | $63 | 132% |
| Innovative Health Plan II | $63 - $118 | 132% |
| Unicare | $63 - $195 | 132% |
| Wellpoint | $63 - $195 | 132% |
| Health Smart | $66 - $145 | 138% |
| Wc Corvel | $66 | 138% |
| Health New England | $70 - $94 | 146% |
| Harvard Pilgrim Healthcare | $75 - $134 | 157% |
| Healthscope | $75 | 157% |
| Andrie Inc | $78 | 163% |
| Delta Dental Ga | $78 | 163% |
| Delta Dental Mi | $78 | 163% |
| Delta Dental Mo | $78 | 163% |
| Delta Dental Nj | $78 | 163% |
| Delta Dental Ny | $78 | 163% |
| Delta Dental Oh | $78 | 163% |
| Delta Dental Or | $78 | 163% |
| Delta Dental PA | $78 | 163% |
| Delta Dental VA | $78 | 163% |
| Delta Dental Wa | $78 | 163% |
| East Greenbush Central School District | $78 | 163% |
| Genex Wc | $78 | 163% |
| Healthsmart Workers Comp | $78 | 163% |
| Jag Source | $78 | 163% |
| Liberty Dental | $78 | 163% |
| New York State Insurance Fund | $78 | 163% |
| Njm Insurance Group | $78 | 163% |
| Prime Health Services | $78 - $120 | 163% |
| Rx Heatlhcomp | $78 | 163% |
| Rx Restat | $78 | 163% |
| Rx Saif Opdp Wc | $78 | 163% |
| Rx Worker's Comp | $78 | 163% |
| Wc Accident Fund | $78 | 163% |
| Wc Ace | $78 | 163% |
| Wc Acs Federal Employees | $78 | 163% |
| Wc Acuity | $78 | 163% |
| Wc Advantage | $78 | 163% |
| Wc Aegis | $78 | 163% |
| Wc Aig | $78 | 163% |
| Wc Aims | $78 | 163% |
| Wc Alaska National Ins | $78 | 163% |
| Wc Align Network | $78 | 163% |
| Wc Allied | $78 | 163% |
| Wc Am Trust N America | $78 | 163% |
| Wc American Claims Mgmt | $78 | 163% |
| Wc Amerisure | $78 | 163% |
| Wc Amtrust | $78 | 163% |
| Wc Asu Risk Mgt | $78 | 163% |
| Wc Benetech | $78 | 163% |
| Wc Berkley Admin | $78 | 163% |
| Wc Broadspire | $78 | 163% |
| Wc Broward County | $78 | 163% |
| Wc Bunch & Associates | $78 | 163% |
| Wc California State Comp Ins | $78 | 163% |
| Wc California State Ins Fund | $78 | 163% |
| Wc Capitol Area Health Consortium | $78 | 163% |
| Wc Ccmsi | $78 | 163% |
| Wc Chartis | $78 | 163% |
| Wc Chubb | $78 | 163% |
| Wc Cirma | $78 | 163% |
| Wc City of Albany | $78 | 163% |
| Wc City of Sioux City | $78 | 163% |
| Wc Claims Mgmt Inc | $78 | 163% |
| Wc Cna | $78 | 163% |
| Wc Comp One Admin C/O Manageability | $78 | 163% |
| Wc Compone Admin | $78 | 163% |
| Wc Ct Healthcare Trust | $78 | 163% |
| Wc Donegal Insurance Group | $78 | 163% |
| Wc Emc Insurance Company | $78 | 163% |
| Wc Employee Mutual | $78 | 163% |
| Wc Enablecomp | $78 | 163% |
| Wc Encore Health Network | $78 | 163% |
| Wc Erie | $78 | 163% |
| Wc Esis | $78 | 163% |
| Wc Evolutions | $78 | 163% |
| Wc Fcci | $78 | 163% |
| Wc Fed Ex | $78 | 163% |
| Wc Federal Black Lung | $78 | 163% |
| Wc Federated | $78 | 163% |
| Wc Finley Occupational Health | $78 | 163% |
| Wc First Agency/Occunet | $78 | 163% |
| Wc Ford Motor | $78 | 163% |
| Wc Fresno Unified Emp | $78 | 163% |
| Wc Gallagher Bassett | $78 | 163% |
| Wc General Motors | $78 | 163% |
| Wc Generic | $78 | 163% |
| Wc Genex Care for Ohio | $78 | 163% |
| Wc Great West Casualty | $78 | 163% |
| Wc Guarantee Insurance | $78 | 163% |
| Wc Guard Insurance Company | $78 | 163% |
| Wc Hab | $78 | 163% |
| Wc Hartford | $78 | 163% |
| Wc Hastings | $78 | 163% |
| Wc Health Management | $78 | 163% |
| Wc Heritage Summit | $78 | 163% |
| Wc Hireright | $78 | 163% |
| Wc Horizon | $78 | 163% |
| Wc Icw Group | $78 | 163% |
| Wc Idaho State Ins Fund | $78 | 163% |
| Wc Intercare Insurance | $78 | 163% |
| Wc Intermountain | $78 | 163% |
| Wc Johns Eastern | $78 | 163% |
| Wc Kemberton | $78 | 163% |
| Wc Key Ins & Benefit Solutions | $78 | 163% |
| Wc Liberty Mutual | $78 | 163% |
| Wc Mac Risk Management | $78 | 163% |
| Wc Massachusetts | $78 | 163% |
| Wc Mdia | $78 | 163% |
| Wc Meadowbrook Claim | $78 | 163% |
| Wc Medical Administrators | $78 | 163% |
| Wc Meijers | $78 | 163% |
| Wc Memic | $78 | 163% |
| Wc Mercy Workcare | $78 | 163% |
| Wc Michigan | $78 | 163% |
| Wc Michigan Millers Mutual | $78 | 163% |
| Wc Mitchell Frankenmuth | $78 | 163% |
| Wc Mra | $78 | 163% |
| Wc Nationwide | $78 | 163% |
| Wc Nca Comp | $78 | 163% |
| Wc New York | $78 | 163% |
| Wc New York Special Funds | $78 | 163% |
| Wc North American Rishces | $78 | 163% |
| Wc Northeast Health | $78 | 163% |
| Wc Notre Dame | $78 | 163% |
| Wc Novanet | $78 | 163% |
| Wc O'Hara Corp | $78 | 163% |
| Wc Occ Health Allen | $78 | 163% |
| Wc Ohio Bureau | $78 | 163% |
| Wc One Call Medical | $78 | 163% |
| Wc Paradigm | $78 | 163% |
| Wc Peerless | $78 | 163% |
| Wc Pma | $78 | 163% |
| Wc Praxis Health Network | $78 | 163% |
| Wc Price Chopper | $78 | 163% |
| Wc Procura Management | $78 | 163% |
| Wc Qualcare | $78 | 163% |
| Wc Quiktrip | $78 | 163% |
| Wc Reny Company | $78 | 163% |
| Wc Rev Claims | $78 | 163% |
| Wc Risico | $78 | 163% |
| Wc Rural Mutual | $78 | 163% |
| Wc Saif Oregon | $78 | 163% |
| Wc Secura | $78 | 163% |
| Wc Sedgwick | $78 | 163% |
| Wc Sentry | $78 | 163% |
| Wc Sheakley Unicomp | $78 | 163% |
| Wc Smile Lodge | $78 | 163% |
| Wc Society | $78 | 163% |
| Wc Srs | $78 | 163% |
| Wc Taconic (Mro) | $78 | 163% |
| Wc Taconic Farms | $78 | 163% |
| Wc Travelers | $78 | 163% |
| Wc Triad Group | $78 | 163% |
| Wc Tristar | $78 | 163% |
| Wc Troy Ny | $78 | 163% |
| Wc Tyson | $78 | 163% |
| Wc Unified Health Services | $78 | 163% |
| Wc United Heartland | $78 | 163% |
| Wc Us Dept of Labor | $78 | 163% |
| Wc Velocity | $78 | 163% |
| Wc Walmart | $78 | 163% |
| Wc West Bend | $78 | 163% |
| Wc West Bend Mutual/Argent | $78 | 163% |
| Wc Winnebago Industries | $78 | 163% |
| Wc Yankee Trails | $78 | 163% |
| Wc York Risk | $78 | 163% |
| Wc Zenith | $78 | 163% |
| Wc Zurich | $78 | 163% |
| Allegiance | $111 | 232% |
| Health Partners | $111 | 232% |
| Magnacare | $111 | 232% |
| Allied National Global Care | $116 | 242% |
| Asrm - Reliance Standard Life Insurance | $116 | 242% |
| Christian Care Ministry | $116 | 242% |
| Dean Health | $116 | 242% |
| Family Life Insurance Company | $116 | 242% |
| Ghc Scw | $116 | 242% |
| International Benefit Administrators | $116 | 242% |
| Lifetime Benefit Solutions | $116 | 242% |
| Manhattan Life | $116 | 242% |
| Medi Share | $116 | 242% |
| Mvp | $116 | 242% |
| PHCS | $116 | 242% |
| Pai | $116 | 242% |
| Pan-American Life | $116 | 242% |
| Paramount HMO | $116 | 242% |
| Trinity Health Share | $116 | 242% |
| 1199 National Benefit Fund | $127 | 265% |
| Allied Benefit Systems | $127 | 265% |
| Gravie Admin Services | $127 | 265% |
| Hap | $127 | 265% |
| Luminare Health | $127 | 265% |
| Nippon Life Ins | $127 | 265% |
| Webtpa | $127 | 265% |
| Geha | $134 | 280% |