CMS Price Transparency Data

Flu vaccine injection

Facility: Mercy Regional Medical Center

Billing Code: G0008 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0008
Insurance Median: $135
Cash Discount Price: $41
vs. Medicare Baseline: 2.82x Medicare

The contracted insurance negotiated median rate for a Flu vaccine injection at Mercy Regional Medical Center is $135. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $41. Compared to the federal Medicare reimbursement reference rate of $47.84, this hospital’s rate is 2.82x the Medicare baseline. Located in 800 E Main, Ville Platte, LA.

Cash / Self-Pay

$41

Average discount available for prompt cash payment at this facility.

Insurance Median

$135

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: $41 (86%)

Insurance Median: $135 (282%)

Cash: $41 (86% of Medicare)

Ins. Median: $135 (282% 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 282% of the Medicare baseline (a markup of 182%). 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
McD HMO La Care	$16 - $19	33%
Medicaid / KanCare	$16 - $159	33%
UnitedHealthcare	$16 - $19	33%
McD HMO Amerigroup	$16 - $19	33%
McD HMO La Hlth Cr Connct	$16 - $19	33%
Aetna	$16 - $19	33%
McD HMO Com Hlth Solution	$18 - $21	38%
Charity/Map	$40 - $159	84%
Ppo/Manged Care	$68 - $159	142%
Pp0/Manged Care	$68 - $159	142%
Blue Cross Blue Shield	$73	153%
American Postal Workers	$108 - $127	226%
Work Comp	$122 - $143	255%
Commerical Ip	$135 - $159	282%
Tricare	$135 - $159	282%
Medicare (plans)	$135 - $159	282%
McR American Hlth Adv	$135 - $159	282%
Mra Auto/Liability	$135 - $159	282%
Commerical	$135 - $159	282%

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 $41.
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 Mercy Regional Medical Center 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.