CMS Price Transparency Data

Flu vaccine injection

Facility: St Mary Medical Center

Billing Code: G0008 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$34
about 0.7× the $48 Medicare rate · typically $13–$64
modeled estimate · not a bill or quote
What this hospital charges insurers
$34
About the fair price
0.7× Medicare
Medicare pays $48 Fair price $34 This hospital $34 Cash price $44 Hospital's list price $68

How we calculate the fair BaseRate →

How this hospital compares to other PA hospitals

Highest price of the 9 PA hospitals we have prices for — worth calling around.

Cheapest $16 Priciest $34

Black dot = this hospital, among the 9 PA hospitals with a price for this procedure. Full list below.

A fair price for a Flu vaccine injection is about $34 (about 0.7× the $48 Medicare rate). St Mary Medical Center charges insurers about $34, or about $44 in cash — about the fair price. Located in Langhorne, PA.

What each insurance company pays

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

6 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 $12 - $34 25%
Blue Cross Blue Shieldmajor $10 - $136 21%
Aetnamajor $14 - $70 29%
Cignamajor $10 - $51 21%
Humanamajor $10 - $70 21%
Kaiser Permanentemajor $18 38%
Ambetter (Centene) $10 - $90 21%
AmeriHealth $18 38%
Clover Health $34 71%
GEHA $12 - $34 25%
Health Net $10 - $40 21%
HealthPartners $10 - $35 21%
Meridian $10 - $34 21%
Molina $10 21%
Oscar Health $52 - $91 109%
Paramount $10 21%
Presbyterian $10 - $34 21%
Tufts Health Plan $10 21%
UPMC Health Plan $16 - $46 33%
WellMed $34 71%
WellSense $10 21%
+ 338 smaller / regional plans $9 - $114
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 17 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: Langhorne-Newtown Rd, Langhorne, PA 19047
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals