CMS Price Transparency Data

Flu vaccine injection

Facility: Ochsner Stennis Memorial Hospital

Billing Code: G0008 (HCPCS)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: G0008
  • Insurance Median: $73
  • Cash Discount Price: $84
  • vs. Medicare Baseline: 1.53x Medicare
The contracted insurance negotiated median rate for a Flu vaccine injection at Ochsner Stennis Memorial Hospital is $73. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $84. Compared to the federal Medicare reimbursement reference rate of $47.84, this hospital’s rate is 1.53x the Medicare baseline. Located in 14365 Highway 16 West, De Kalb, MS.
Cash / Self-Pay
$84

Average discount available for prompt cash payment at this facility.

Insurance Median
$73

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: $84 (176%)
Insurance Median: $73 (153%)
Cash: $84 (176% of Medicare)
Ins. Median: $73 (153% 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
UnitedHealthcare $13 - $62 27%
Humana $15 - $73 31%
Blue Cross Blue Shield $18 - $111 38%
Aetna $29 - $79 61%
Prime Health Services PPO -Workers Comp $32 - $51 67%
Cor Vel $33 - $52 69%
Cigna $61 - $73 128%
Ambetter / Centene $73 153%
Magnolia Health Plan – Wellcare By All Well of Mississippi $73 153%
Medicare (plans) $73 - $84 153%
Shared Health Mississippi $76 159%
Primewell Health Services Commercial Exchange Plan $81 169%
Primewell Health Services – Commercial $81 169%
Select Administrative Services Network $85 178%
Claritev D/B/A Multiplan/Phcs/American Life Care $91 190%
Zelis $91 - $103 190%
Prime Health Services PPO $97 203%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 14365 Highway 16 West, De Kalb, MS 39328
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals