CMS Price Transparency Data

Flu vaccine injection

Facility: St Francis Hospital

Billing Code: G0008 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0008
Insurance Median: $107
Cash Discount Price: $91
vs. Medicare Baseline: 2.24x Medicare

The contracted insurance negotiated median rate for a Flu vaccine injection at St Francis Hospital is $107. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $91. Compared to the federal Medicare reimbursement reference rate of $47.84, this hospital’s rate is 2.24x the Medicare baseline. Located in 1215 Franciscan Dr, Litchfield, IL.

Cash / Self-Pay

$91

Average discount available for prompt cash payment at this facility.

Insurance Median

$107

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: $91 (190%)

Insurance Median: $107 (224%)

Cash: $91 (190% of Medicare)

Ins. Median: $107 (224% 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 224% of the Medicare baseline (a markup of 124%). 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
Blue Cross Blue Shield	$26	54%
Clear Spring Health of Illinois	$26	54%
Humana	$26	54%
Molina Healthcare	$28 - $51	59%
Amish Community	$35	73%
Wexford	$48	100%
Meridian Health Plan	$53	111%
Claim Doc	$66	138%
Aetna	$69 - $89	144%
Wellfirst	$81	169%
First Health	$93	194%
UnitedHealthcare	$101 - $126	211%
Caterpillar, Inc.	$101	211%
Current Health Solutions	$106	222%
Multiplan/Phcs	$107	224%
Healthlink	$107	224%
Consociate Group	$107	224%
Cigna	$112	234%
Provider Network of America	$113	236%
Healthcare Finest Network (Hfn)	$113	236%
Healthscope	$126	263%
Interplan	$126	263%
Live360	$126	263%
Illinois Breast and Cervical Cancer Program	$126	263%
Naphcare	$126	263%
Health Alliance Medical Plans	$126	263%

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 $91.
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 St Francis Hospital 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.