Flu vaccine injection
Facility: Ohio Valley Surgical Hospital
Billing Code: G0008 (HCPCS)
- CPT Billing Code: G0008
- Insurance Median: $4,022
- Cash Discount Price: $77
- vs. Medicare Baseline: 84.07x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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 8407% of the Medicare baseline (a markup of 8307%). 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Personify Health | $12 - $20,896 | 25% |
| Meritain Heatlh | $12 - $20,896 | 25% |
| Meritain | $12 - $20,896 | 25% |
| Mail Handlers | $12 - $20,896 | 25% |
| Nippon Life | $12 - $20,896 | 25% |
| Aetna | $12 - $20,896 | 25% |
| Mhbp | $12 - $20,896 | 25% |
| Geha | $12 - $20,896 | 25% |
| Genworth | $12 - $20,896 | 25% |
| Pacific Source | $12 - $20,896 | 25% |
| Ngs Coresource | $12 - $20,896 | 25% |
| UnitedHealthcare | $44 - $17,571 | 92% |
| Humana | $44 - $11,919 | 92% |
| Molina McR McD | $44 - $11,885 | 92% |
| Molina McR+McD | $44 - $11,885 | 92% |
| Everest | $44 - $11,885 | 92% |
| Molina McR | $44 - $11,885 | 92% |
| Wraparound Pl Supp | $44 - $11,885 | 92% |
| Self Pay Imaging | $44 - $11,885 | 92% |
| Aultcare Primetime Health Plan | $44 - $11,885 | 92% |
| Mmoh | $44 - $11,885 | 92% |
| American Republic | $44 - $11,885 | 92% |
| Medicare (plans) | $44 - $12,264 | 92% |
| Bankers Life and Casualty | $44 - $11,885 | 92% |
| Molina Marketplace | $44 - $11,885 | 92% |
| American Continental Insurance | $44 - $11,885 | 92% |
| American Retirement | $44 - $11,885 | 92% |
| American Continental Life | $44 - $11,885 | 92% |
| Molina | $44 - $11,885 | 92% |
| Wellcare By Allwell | $44 - $11,885 | 92% |
| Patient No Pay | $44 - $11,885 | 92% |
| Champus | $44 - $11,885 | 92% |
| Blue Cross Blue Shield | $44 - $40,293 | 92% |
| Gateway Health Plan | $44 - $11,885 | 92% |
| Molina Dual McR | $44 - $11,885 | 92% |
| Medigold | $44 - $11,885 | 92% |
| Cigna | $44 - $18,817 | 92% |
| Aarp | $44 - $11,885 | 92% |
| Aarp Supplemental | $44 - $11,885 | 92% |
| Central States | $44 - $11,885 | 92% |
| Communicare Advantage | $44 - $11,885 | 92% |
| Prosperity Supplement | $44 - $11,885 | 92% |
| Bankers Fidelity | $44 - $11,885 | 92% |
| Molina Dual McR | $44 - $11,885 | 92% |
| The Health Plan | $46 - $12,479 | 96% |
| Devoted Health | $48 - $13,707 | 100% |
| Employer Direct | $51 - $15,703 | 107% |
| Mmo Cin. HMO | $59 - $81 | 123% |
| Mmoh (Supermed) | $59 - $60 | 123% |
| Medicaid / KanCare | $66 - $17,827 | 138% |
| Caresourse | $66 - $17,827 | 138% |
| Caresource | $66 - $17,827 | 138% |
| Nalc | $71 - $18,817 | 148% |
| Samba | $71 - $18,817 | 148% |
| Unified Group | $71 - $18,817 | 148% |
| Healthgram | $71 - $18,817 | 148% |
| Sbma | $71 - $18,817 | 148% |
| Luminare Health | $115 | 240% |
| Preferred Health | $115 | 240% |
| Ohio Health | $115 | 240% |
| Medben | $115 | 240% |
| Amerihealth Caritas of Ohio | $3,657 | 7644% |
| Buckeye Community Health Plan | $4,022 | 8407% |
| Molina McD | $4,084 | 8537% |
| Ushealth | $17,571 | 36729% |
| Golden Rule | $17,571 | 36729% |
| Shl | $17,571 | 36729% |
| Surest | $17,571 | 36729% |
| Medica | $17,571 | 36729% |
| Oxford | $17,571 | 36729% |