CMS Price Transparency Data

Flu vaccine injection

Facility: SSM Health St Mary's Hospital - Madison

Billing Code: G0008 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$43
about 0.9× the $48 Medicare rate · typically $32–$85
modeled estimate · not a bill or quote
What this hospital charges insurers
$40
About the fair price
about $3 under the fair price · 0.8× Medicare
Medicare pays $48 Fair price $43 This hospital $40 Cash price $134 Hospital's list price $243

How we calculate the fair BaseRate →

How this hospital compares to other WI hospitals

On the higher side — 6 of 8 other WI hospitals charge less.

Cheapest $30 Priciest $41

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Flu vaccine injection is about $43 (about 0.9× the $48 Medicare rate). SSM Health St Mary's Hospital - Madison charges insurers about $40, or about $134 in cash — about the fair price. Located in Madison, WI.

What each insurance company pays

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

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

UnitedHealthcareBlue Cross Blue ShieldAetnaCignaHumanaKaiser 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
Dean Health Plan $45 94%
Molina $34 71%

Self-Pay How to get the cash price

Insurance Before you use insurance

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A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 700 South Park St, Madison, WI 53715
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals