CMS Price Transparency Data

Flu vaccine injection

Facility: Jfk University Medical Center

Billing Code: G0008 (HCPCS)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: G0008
  • Insurance Median: $99
  • Cash Discount Price: $49
  • vs. Medicare Baseline: 2.07x Medicare
The contracted insurance negotiated median rate for a Flu vaccine injection at Jfk University Medical Center is $99. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $49. Compared to the federal Medicare reimbursement reference rate of $47.84, this hospital’s rate is 2.07x the Medicare baseline. Located in 65 James Street, Edison, NJ.
Cash / Self-Pay
$49

Average discount available for prompt cash payment at this facility.

Insurance Median
$99

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: $49 (102%)
Insurance Median: $99 (207%)
Cash: $49 (102% of Medicare)
Ins. Median: $99 (207% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 207% of the Medicare baseline (a markup of 107%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Vaccn $20 42%
Aetna $22 - $124 46%
UnitedHealthcare $24 - $115 50%
Clover $25 52%
Seoul Medical Group $30 63%
Wellcare $46 - $51 96%
Horizon $46 - $128 96%
Amerigroup $46 - $51 96%
United Community/Americhoice $48 - $54 100%
Blue Cross Blue Shield $51 107%
Karna $60 125%
Oxford - Jri@Oumc $69 144%
Activecare First McO $97 203%
Intergroup $97 203%
Bergen Risk $104 217%
Prime Health $110 230%
Oxford $114 238%
Multiplan - PHCS $117 245%
Brighton Health Plan $124 259%
Qualcare $128 268%
Amerihealth $131 274%
Cigna $133 278%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 65 James Street, Edison, NJ 08818
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals