CMS Price Transparency Data

Pneumonia vaccine injection

Facility: Montrose Regional Health

Billing Code: G0009 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$50
about 1.0× the $48 Medicare rate · typically $18–$53
modeled estimate · not a bill or quote
What this hospital charges insurers
$53
About the fair price
about $3 over the fair price · 1.1× Medicare
Medicare pays $48 Fair price $50 This hospital $53 Cash price $130 Hospital's list price $173

How we calculate the fair BaseRate →

How this hospital compares to other CO hospitals

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

Cheapest $46 Priciest $53

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

A fair price for a Pneumonia vaccine injection is about $50 (about 1.0× the $48 Medicare rate). Montrose Regional Health charges insurers about $53, or about $130 in cash — about the fair price. Located in Montrose, CO.

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✓ Cigna✓ Humana AetnaKaiser 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 $38 - $164 79%
Blue Cross Blue Shieldmajor $53 - $163 111%
Cignamajor $164 343%
Humanamajor $53 - $164 111%
+ 4 smaller / regional plans $147 - $165
Government programs also on file: Medicare.
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 800 S 3Rd St, Montrose, CO 81401
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals