CMS Price Transparency Data

Flu vaccine injection

Facility: Pioneer Medical Center

Billing Code: G0008 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0008
Insurance Median: $42
Cash Discount Price: $45
vs. Medicare Baseline: 0.88x Medicare

The contracted insurance negotiated median rate for a Flu vaccine injection at Pioneer Medical Center is $42. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $45. Compared to the federal Medicare reimbursement reference rate of $47.84, this hospital’s rate is 0.88x the Medicare baseline. Located in 301 W 7Th Ave, Big Timber, MT.

Cash / Self-Pay

$45

Average discount available for prompt cash payment at this facility.

Insurance Median

$42

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: $45 (94%)

Insurance Median: $42 (88%)

Cash: $45 (94% of Medicare)

Ins. Median: $42 (88% 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.

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	$20 - $56	42%
Humana	$20 - $63	42%
Triwest VA Pccc-All Plans	$20 - $31	42%
UnitedHealthcare	$20 - $65	42%
Health Info Net McR Adv	$20 - $31	42%
Healtnet Federal-All Plans	$20 - $31	42%
Rocky Mountain Health Network-All Plans	$31 - $48	65%
Allegiance Provider-All Plans	$37 - $58	77%
Mountain Health Co-Op Hpn	$39 - $60	82%
Interwest PPO	$42 - $65	88%
Fedmed Network-All Plans	$42 - $65	88%
Three Rivers-All Plans	$42 - $65	88%
First Health-All Plans	$42 - $65	88%
First Choice Big Sky-All Plans	$42 - $65	88%
6 Degrees Health-All Plans	$42 - $65	88%
Mountain Health Co-Op-All Other Plans	$42 - $65	88%
City of Billings-All Plans	$42 - $65	88%
Community Health Ntwk-All Plans	$42 - $65	88%
Pacific Source-All Plans	$42 - $65	88%
Pacific Steel & Recycling-All Plans	$42 - $65	88%
Americas Choice-All Plans	$42 - $65	88%
Ebms Select Care Network-All Plans	$42 - $65	88%
Mountain Health Co-Op Ppo/Pos	$43 - $67	90%
Health Info Net Standard-All Other Plans	$43 - $66	90%
Health Info Net Peak/Equity	$43 - $66	90%
Interwest Health Traditional-All Other Plans	$44 - $68	92%

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 $45.
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 Pioneer 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.