CMS Price Transparency Data

Flu vaccine injection

Facility: Baylor Scott & White Medical Center - Marble Falls

Billing Code: G0008 (HCPCS)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: G0008
  • Insurance Median: $19
  • Cash Discount Price: $15
  • vs. Medicare Baseline: 0.40x Medicare
The contracted insurance negotiated median rate for a Flu vaccine injection at Baylor Scott & White Medical Center - Marble Falls is $19. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $15. Compared to the federal Medicare reimbursement reference rate of $47.84, this hospital’s rate is 0.40x the Medicare baseline. Located in 810 W Highway 71, Marble Falls, TX.
Cash / Self-Pay
$15

Average discount available for prompt cash payment at this facility.

Insurance Median
$19

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: $15 (31%)
Insurance Median: $19 (40%)
Cash: $15 (31% of Medicare)
Ins. Median: $19 (40% 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.

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
Baylor Scott & White Health Plan $9 - $69 19%
UnitedHealthcare $12 - $48 25%
Cigna $13 - $15 27%
Aetna $14 29%
Midcoast $14 29%
Quiktrip $14 29%
University of Mary Hardin-Baylor $14 29%
Independent Medical System $15 31%
Curative $16 33%
Humana $16 - $42 33%
First Health $18 38%
Healthsmart $18 - $19 38%
Bluebell Creameries $19 40%
Private Health Care System $19 40%
Three Rivers $22 46%
Superior Health Plan $42 88%
Triwest $42 88%
American Health Plan $44 92%
Blue Cross Blue Shield $44 - $82 92%
Corvel $44 92%
Healthspring $44 92%
Prime Health Services $44 92%
Procare Advantage $44 92%
Sedgwick $63 132%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 810 W Highway 71, Marble Falls, TX 78654
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals