CMS Price Transparency Data

Flu vaccine injection

Facility: Legacy Good Samaritan Medical Center

Billing Code: G0008 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$57
about 1.2× the $48 Medicare rate · typically $57–$70
modeled estimate · not a bill or quote
Medicare pays $48 Fair price $57 Cash price $22 Hospital's list price $33

How we calculate the fair BaseRate →

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ Blue Cross Blue Shield✓ Aetna✓ Kaiser Permanente UnitedHealthcareCignaHumana

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
Blue Cross Blue Shieldmajor $107 - $157 224%
Aetnamajor $55 115%
Kaiser Permanentemajor $52 - $104 109%
Health Net $55 115%
Moda Health $58 - $201 121%
+ 3 smaller / regional plans $54 - $57

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 1015 Nw 22Nd Avenue, W121, Portland, OR 97210
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals