CMS Price Transparency Data

Flu vaccine injection

Facility: HCA Houston Healthcare Pearland

Billing Code: G0008 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0008
Insurance Median: $34
Cash Discount Price: $147
vs. Medicare Baseline: 0.71x Medicare

The contracted insurance negotiated median rate for a Flu vaccine injection at HCA Houston Healthcare Pearland is $34. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $147. Compared to the federal Medicare reimbursement reference rate of $47.84, this hospital’s rate is 0.71x the Medicare baseline. Located in 11100 Shadow Creek Parkway, Pearland, TX.

Cash / Self-Pay

$147

Average discount available for prompt cash payment at this facility.

Insurance Median

$34

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: $147 (307%)

Insurance Median: $34 (71%)

Cash: $147 (307% of Medicare)

Ins. Median: $34 (71% 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
Superior Health Plan	$5 - $13	10%
Community Health Choice McD	$11 - $27	23%
Cigna	$13 - $40	27%
Texas Childrens Health Plans	$14 - $50	29%
United	$14 - $94	29%
Oscar	$17 - $41	36%
Healthcare Highways	$22 - $53	46%
Aetna	$23 - $91	48%
Evry Health	$23 - $57	48%
Blue Cross Blue Shield	$30 - $77	63%
Christus (Usfhp)	$34 - $84	71%
Curative Administrators	$34 - $84	71%
Coventry National First Health	$45 - $112	94%
Humana	$194	406%

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 $147.
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 HCA Houston Healthcare Pearland 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.