CMS Price Transparency Data

Flu vaccine injection

Facility: Northeast Regional Medical Center

Billing Code: G0008 (HCPCS)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: G0008
  • Insurance Median: $51
  • Cash Discount Price: $31
  • vs. Medicare Baseline: 1.07x Medicare
The contracted insurance negotiated median rate for a Flu vaccine injection at Northeast Regional Medical Center is $51. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $31. Compared to the federal Medicare reimbursement reference rate of $47.84, this hospital’s rate is 1.07x the Medicare baseline. Located in 315 S Osteopathy, Kirksville, MO.
Cash / Self-Pay
$31

Average discount available for prompt cash payment at this facility.

Insurance Median
$51

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: $31 (65%)
Insurance Median: $51 (107%)
Cash: $31 (65% of Medicare)
Ins. Median: $51 (107% 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
Self Pay $19 - $45 40%
UnitedHealthcare $20 - $61 42%
Blue Cross Blue Shield $24 - $50 50%
Cigna $27 - $32 56%
Aetna $29 - $68 61%
Tricare $47 98%
Node Champva $47 98%
Medicare (plans) $49 102%
Node Hospice Non Par Agree $50 105%
Node VA $50 105%
Access Health Services, LLC $51 - $53 107%
Node Devoted Health McR Adv $52 109%
Blue Pathway/Pathway X $56 117%
Multiplan $59 - $65 123%
Healthlink $59 - $65 123%
Centurion Correctional $63 132%
Us Department of Labor $63 132%
Coventry Wc $63 - $65 132%
Home State Exchange $90 188%
Naphcare $95 199%
Immergrun $100 209%
Blue Prefrerred $117 245%
Blue Access $120 251%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 315 S Osteopathy, Kirksville, MO 63501
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals