CMS Price Transparency Data

Flu vaccine injection

Facility: Hillcrest Medical Center

Billing Code: G0008 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0008
Insurance Median: $86
Cash Discount Price: $50
vs. Medicare Baseline: 1.80x Medicare

The contracted insurance negotiated median rate for a Flu vaccine injection at Hillcrest Medical Center is $86. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $50. Compared to the federal Medicare reimbursement reference rate of $47.84, this hospital’s rate is 1.80x the Medicare baseline. Located in 1120 South Utica Avenue, Tulsa, OK.

Cash / Self-Pay

$50

Average discount available for prompt cash payment at this facility.

Insurance Median

$86

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: $50 (105%)

Insurance Median: $86 (180%)

Cash: $50 (105% of Medicare)

Ins. Median: $86 (180% 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
Healthcare Highways [2210]	$41 - $64	86%
Oscar Insurance Company [7005]	$41	86%
Osma Health Network [2345]	$41	86%
Hooray Health [8000]	$41	86%
Lucent Health [6000]	$41	86%
Oncology Patient Assistance Programs [2295]	$41	86%
Black Lung [6055]	$41	86%
UnitedHealthcare	$52	109%
Healthscope Benefits [2290]	$52	109%
Web Tpa [2115]	$64 - $72	134%
Resource One Administrators [2815]	$64	134%
Meritain Health [1655]	$72	151%
Aetna	$72	151%
The Kempton Group Administrators [2905]	$74	155%
National Association of Letter Carriers [1695]	$86	180%
Pba [1775]	$86	180%
Multiplan [1680]	$94 - $142	196%
Medica [2910]	$94	196%
PHCS [1780]	$120 - $142	251%
Employee Benefit Management Services [2445]	$120	251%
Pan American Life Insurance Co [1770]	$142	297%
New Era Life Insurance Company [1705]	$142	297%
Planned Administrators Inc [2360]	$142	297%
Trustmark [2030]	$142	297%
Universal Fidelity [2085]	$142	297%
Administrative Concepts [1005]	$142	297%
Mutual of Omaha [1685]	$142	297%
Hometown Health [2155]	$142	297%
Mayo Clinic Health Solutions [2280]	$142	297%
Allied Benefit Systems Inc [1030]	$142	297%
Healthfirst [2395]	$142	297%
Healthcost Solutions [2415]	$142	297%
Allied National Global Care [1035]	$142	297%
Pending Ssi [1616]	$165	345%

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 $50.
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 Hillcrest Medical Center 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.