CMS Price Transparency Data

Pneumonia vaccine injection

Facility: Southeast Health Medical Center

Billing Code: G0009 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$45
about 0.9× the $48 Medicare rate · typically $43–$45
modeled estimate · not a bill or quote
What this hospital charges insurers
$45
About the fair price
0.9× Medicare
Medicare pays $48 Fair price $45 This hospital $45 Cash price $63 Hospital's list price $158

How we calculate the fair BaseRate →

How this hospital compares to other AL hospitals

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

Cheapest $22 Priciest $45

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

A fair price for a Pneumonia vaccine injection is about $45 (about 0.9× the $48 Medicare rate). Southeast Health Medical Center charges insurers about $45, or about $63 in cash — about the fair price. Located in Dothan, AL.

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 $45 - $64 94%
Blue Cross Blue Shieldmajor $45 94%
Aetnamajor $45 94%
Cignamajor $45 94%
Humanamajor $45 94%
Ambetter (Centene) $61 128%
Security Health Plan $45 94%
WellCare $45 94%
+ 4 smaller / regional plans $45 - $63
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: 1108 Ross Clark Circle, Dothan, AL 36301
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals