CMS Price Transparency Data

Flu vaccine injection

Facility: Graham Regional Medical Center

Billing Code: G0008 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0008
Insurance Median: $34
Cash Discount Price: $98
vs. Medicare Baseline: 0.71x Medicare

The contracted insurance negotiated median rate for a Flu vaccine injection at Graham Regional Medical Center is $34. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $98. Compared to the federal Medicare reimbursement reference rate of $47.84, this hospital’s rate is 0.71x the Medicare baseline. Located in 1301 Montgomery Road, Graham, TX.

Cash / Self-Pay

$98

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: $98 (205%)

Insurance Median: $34 (71%)

Cash: $98 (205% 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
Health Advantage Network	$5 - $103	10%
Healthsmart Preferred Care	$5 - $103	10%
UnitedHealthcare	$24 - $1,910	50%
Amerigroup	$29 - $34	61%
Choicecare Network	$29 - $34	61%
Superior Healthplan	$29 - $34	61%
Wellpoint	$40 - $46	84%
Curative	$59 - $68	123%
Aetna	$64 - $74	134%
Cigna	$64 - $74	134%
Blue Cross Blue Shield	$67 - $86	140%
Three Rivers Provider Network	$83 - $97	173%

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 $98.
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 Graham Regional Medical Center 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.