CMS Price Transparency Data

Flu vaccine injection

Facility: Texas Health Presbyterian Hospital Flower Mound

Billing Code: G0008 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0008
Insurance Median: $83
Cash Discount Price: $114
vs. Medicare Baseline: 1.73x Medicare

The contracted insurance negotiated median rate for a Flu vaccine injection at Texas Health Presbyterian Hospital Flower Mound is $83. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $114. Compared to the federal Medicare reimbursement reference rate of $47.84, this hospital’s rate is 1.73x the Medicare baseline. Located in 4400 Long Prairie Road, Flower Mound, TX.

Cash / Self-Pay

$114

Average discount available for prompt cash payment at this facility.

Insurance Median

$83

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: $114 (238%)

Insurance Median: $83 (173%)

Cash: $114 (238% of Medicare)

Ins. Median: $83 (173% 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
UnitedHealthcare	$25 - $53	52%
Amerigroup	$29 - $49	61%
Blue Cross Blue Shield	$29 - $195	61%
Cook Childrens	$29	61%
Superior Wellcare	$30 - $52	63%
Aetna	$31 - $133	65%
Molina	$31 - $49	65%
American Health	$47	98%
Healthspring	$48	100%
Humana	$49	102%
Fort Worth Firefighters	$83 - $116	173%
City of Fort Worth	$89	186%
Cigna	$105 - $178	219%
Quick Trip	$114 - $119	238%
PHCS	$132 - $141	276%
Healthsmart	$142 - $159	297%
Multiplan	$165	345%
Galaxy	$167	349%
USA	$167	349%

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 $114.
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 Texas Health Presbyterian Hospital Flower Mound 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.