CMS Price Transparency Data

Flu vaccine injection

Facility: Hackensack Meridian Health Pascack Valley Medical

Billing Code: G0008 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0008
Insurance Median: $79
Cash Discount Price: $63
vs. Medicare Baseline: 1.65x Medicare

The contracted insurance negotiated median rate for a Flu vaccine injection at Hackensack Meridian Health Pascack Valley Medical is $79. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $63. Compared to the federal Medicare reimbursement reference rate of $47.84, this hospital’s rate is 1.65x the Medicare baseline. Located in 250 Old Hook Road, Westwood, NJ.

Cash / Self-Pay

$63

Average discount available for prompt cash payment at this facility.

Insurance Median

$79

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: $63 (132%)

Insurance Median: $79 (165%)

Cash: $63 (132% of Medicare)

Ins. Median: $79 (165% 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
Healthscope Benefits [2290]	$8	17%
UnitedHealthcare	$8 - $87	17%
Medicaid / KanCare	$14	29%
Medicare (plans)	$17	36%
Aetna	$20 - $81	42%
Black Lung [6055]	$38	79%
Commercial Generic [1285]	$38	79%
Create Flex / Select [3580]	$38	79%
Healthcare Highways [2210]	$38	79%
Horizon [3625]	$38 - $87	79%
Lucent Health [6000]	$38	79%
Oncology Patient Assistance Programs [2295]	$38	79%
Selecthealth [3740]	$38	79%
Web Tpa [2115]	$38 - $81	79%
Worker's Comp [2125]	$38 - $84	79%
Wtc Healthcare Sme Karna [8005]	$38	79%
Geha [1415]	$42	88%
Qualcare [3725]	$78 - $90	163%
1199 Seiu Benefit Fund [3505]	$81	169%
Allied Benefit Systems Inc [1030]	$81	169%
Meritain Health [1655]	$81	169%
Nippon Life Ins Co [3695]	$81	169%
Magnacare Commercial [3650]	$84	176%
Blue Cross Blue Shield	$87	182%
Cigna	$88	184%
Mvp Health Plan [2180]	$88	184%
National Association of Letter Carriers [1695]	$88	184%
Emblem Health [2430]	$90	188%
Humana	$90	188%
Amerihealth [3520]	$93	194%

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 $63.
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 Hackensack Meridian Health Pascack Valley Medical 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.