CMS Price Transparency Data
Pneumonia vaccine injection
Facility: Athens Limestone Hospital
Billing Code: G0009 (HCPCS)
The BaseRate · fair price high confidence
A fair price for this
$43
about 0.9× the $48 Medicare rate · typically $26–$62
modeled estimate · not a bill or quote
Medicare pays $48 Fair price $43 Cash price $10 Hospital's list price $10
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
4 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 | $12 | 25% |
| Blue Cross Blue Shieldmajor | $12 - $70 | 25% |
| Aetnamajor | $6 - $43 | 13% |
| Cignamajor | $44 | 92% |
| Ambetter (Centene) | $12 | 25% |
| Devoted Health | $12 | 25% |
| WellCare | $12 | 25% |
| + 1 smaller / regional plan | $6 - $42 |
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Other Procedures at Athens Limestone Hospital
Compare: Pneumonia vaccine injection at other AL hospitals
- USA Health University Hospital · Mobile $22
- USA Health Children's & Women's Hospital · Mobile $22
- Tanner Medical Center-East Alabama · Wedowee $29
- Whitfield Regional Hospital · Demopolis $40
- Hill Hospital of Sumter County · York $40
- J Paul Jones Hospital · Camden $40
- University of Alabama Hospital · Birmingham $41
- Medical Center Enterprise · Enterprise $41
Insurance negotiated median for the same procedure, sorted lowest first.