CMS Price Transparency Data

Flu vaccine injection

Facility: Carilion Stonewall Jackson Hospital

Billing Code: G0008 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$41
about 0.9× the $48 Medicare rate · typically $18–$79
modeled estimate · not a bill or quote
What this hospital charges insurers
$45
About the fair price
about $4 over the fair price · 0.9× Medicare
Medicare pays $48 Fair price $41 This hospital $45 Cash price $16 Hospital's list price $45

How we calculate the fair BaseRate →

How this hospital compares to other VA hospitals

Highest price of the 9 VA hospitals we have prices for — worth calling around.

Cheapest $21 Priciest $45

Black dot = this hospital, among the 9 VA hospitals with a price for this procedure. Full list below.

A fair price for a Flu vaccine injection is about $41 (about 0.9× the $48 Medicare rate). Carilion Stonewall Jackson Hospital charges insurers about $45, or about $16 in cash — about the fair price. Located in Lexington, VA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $23 - $45 48%
Blue Cross Blue Shieldmajor $45 - $219 94%
Aetnamajor $23 - $45 48%
Cignamajor $36 75%
Humanamajor $41 - $45 86%
Sentara $28 - $46 59%
+ 9 smaller / regional plans $25 - $43
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1 Health Circle, Lexington, VA 24450
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals