CMS Price Transparency Data
Flu vaccine injection
Facility: UPMC St Margaret
Billing Code: G0008 (HCPCS)
The BaseRate · fair price high confidence
A fair price for this
$45
about 0.9× the $48 Medicare rate · typically $33–$52
modeled estimate · not a bill or quote
Medicare pays $48 Fair price $45 Cash price $12 Hospital's list price $20
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
5 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente
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 |
|---|---|---|
| UnitedHealthcaremajor | $11 | 23% |
| Blue Cross Blue Shieldmajor | $7 - $57 | 15% |
| Aetnamajor | $5 - $48 | 10% |
| Cignamajor | $6 - $8 | 13% |
| Humanamajor | $17 | 36% |
| AmeriHealth | $16 | 33% |
| UPMC Health Plan | $11 - $52 | 23% |
| + 3 smaller / regional plans | $16 - $48 |
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at UPMC St Margaret
Compare: Flu vaccine injection at other PA hospitals
- St Christopher's Hospital for Children · Philadelphia $16
- Geisinger Jersey Shore Hospital · Jersey Shore $18
- Jefferson Lansdale Hospital · Lansdale $21
- Conemaugh Memorial Medical Center · Johnstown $21
- Jefferson Abington Hospital · Abington $22
- Thomas Jefferson University Hospital · Philadelphia $25
- Surgical Institute of Reading · Wyomissing $27
- Conemaugh Nason Medical Center · Roaring Spring $29
Insurance negotiated median for the same procedure, sorted lowest first.