CMS Price Transparency Data

Flu vaccine injection

Facility: Spotsylvania Regional Medical Center

Billing Code: G0008 (HCPCS)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: G0008
  • Insurance Median: $39
  • Cash Discount Price: $74
  • vs. Medicare Baseline: 0.82x Medicare
The contracted insurance negotiated median rate for a Flu vaccine injection at Spotsylvania Regional Medical Center is $39. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $74. Compared to the federal Medicare reimbursement reference rate of $47.84, this hospital’s rate is 0.82x the Medicare baseline. Located in 4600 Spotsylvania Parkway, Fredericksburg, VA.
Cash / Self-Pay
$74

Average discount available for prompt cash payment at this facility.

Insurance Median
$39

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: $74 (155%)
Insurance Median: $39 (82%)
Cash: $74 (155% of Medicare)
Ins. Median: $39 (82% 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
Bright Health $10 - $14 21%
Lifeworks $11 - $17 23%
Cigna $16 - $29 33%
United $17 - $39 36%
Aetna $21 - $31 44%
Virginia Health Network $21 - $57 44%
Greenvbrier Sporting Club $36 - $52 75%
Kaiser $36 - $52 75%
Multiplan $43 - $62 90%
Corvel $44 - $63 92%
Occunet Workers Comp $48 - $70 100%
4Most Health Nework $54 - $79 113%
Three Rivers Provider Network $54 - $79 113%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4600 Spotsylvania Parkway, Fredericksburg, VA 22408
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals