CMS Price Transparency Data

Flu vaccine injection

Facility: University Medical Center of Princeton at Plainsboro

Billing Code: G0008 (HCPCS)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: G0008
  • Insurance Median: $56
  • Cash Discount Price: $70
  • vs. Medicare Baseline: 1.17x Medicare
The contracted insurance negotiated median rate for a Flu vaccine injection at University Medical Center of Princeton at Plainsboro is $56. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $70. Compared to the federal Medicare reimbursement reference rate of $47.84, this hospital’s rate is 1.17x the Medicare baseline. Located in One-Five Plainsboro Road, Plainsboro, NJ.
Cash / Self-Pay
$70

Average discount available for prompt cash payment at this facility.

Insurance Median
$56

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: $70 (146%)
Insurance Median: $56 (117%)
Cash: $70 (146% of Medicare)
Ins. Median: $56 (117% 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
Medicaid / KanCare $6 - $70 13%
Aetna $6 - $85 13%
Charity Care $7 15%
Wellcare $7 15%
Blue Cross Blue Shield $14 - $53 29%
Preferred Health Care Eliance $18 38%
Horizon Behavioral Health $26 54%
Cigna $26 - $70 54%
Beacon Health Options $35 73%
Magnacare $42 - $49 88%
Princeton Theological Seminary $46 96%
Health Net $49 102%
Coventry $49 102%
UnitedHealthcare $52 - $53 109%
Medicare (plans) $53 - $59 111%
Tricare $53 111%
VA Medical Center $53 111%
Beech Street $56 - $60 117%
Penn Global Medicine Embassy Only $56 117%
Intergroup $56 117%
Intergrated Health Plan $56 117%
Clover Health Plan $57 119%
Humana $58 121%
Total Care Network $60 125%
First Managed Care Option $60 125%
Allied Trades $60 125%
Private Healthcare Systems $60 125%
Consumer Health Network $60 125%
Ie Shaffer $60 125%
Qualcare $60 125%
Devon Health Services $60 125%
Tri-State $60 125%
Us Family Health Plan $61 128%
United Behavioral Health $70 146%
Compsych $70 146%
Commercial Other $70 146%
Penn Behavioral Health Corporate Services $70 146%
International Pfs $70 146%
Magellan $70 146%
Personnel Health Program $70 146%
Life St. Francis $70 146%
Managed Health Network $70 146%
Nj Carpenters $70 146%
Concern Plus $70 146%
Elap $76 - $96 159%
Centivo $96 201%
Claim Watcher $96 201%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: One-Five Plainsboro Road, Plainsboro, NJ 08536
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals