CMS Price Transparency Data

Flu vaccine injection

Facility: Clara Maass Medical Center

Billing Code: G0008 (HCPCS)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: G0008
  • Insurance Median: $91
  • Cash Discount Price: $35
  • vs. Medicare Baseline: 1.90x Medicare
The contracted insurance negotiated median rate for a Flu vaccine injection at Clara Maass Medical Center is $91. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $35. Compared to the federal Medicare reimbursement reference rate of $47.84, this hospital’s rate is 1.90x the Medicare baseline. Located in One Clara Maass Drive, Belleville, NJ.
Cash / Self-Pay
$35

Average discount available for prompt cash payment at this facility.

Insurance Median
$91

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: $35 (73%)
Insurance Median: $91 (190%)
Cash: $35 (73% of Medicare)
Ins. Median: $91 (190% 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 $22 - $53 46%
Fidelis Care $23 - $52 48%
Aetna $24 - $103 50%
Blue Cross Blue Shield $52 - $166 109%
Clover Health $52 109%
Humana $52 109%
Wellpoint $52 - $99 109%
Emblem Health $91 190%
Cigna $92 - $123 192%
Wellcare $103 215%
First Health $104 217%
Qualcare Inc $134 - $142 280%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: One Clara Maass Drive, Belleville, NJ 07109
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals