CMS Price Transparency Data

Pneumonia vaccine injection

Facility: St Elizabeth Hospital

Billing Code: G0009 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$42
about 0.9× the $48 Medicare rate · typically $23–$47
modeled estimate · not a bill or quote
What this hospital charges insurers
$47
About the fair price
about $5 over the fair price · 1.0× Medicare
Medicare pays $48 Fair price $42 This hospital $47 Cash price $56 Hospital's list price $139

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 $47

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 $42 (about 0.9× the $48 Medicare rate). St Elizabeth Hospital charges insurers about $47, or about $56 in cash — about the fair price. Located in Fort Morgan, CO.

What each insurance company pays

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

6 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 $47 - $120 98%
Blue Cross Blue Shieldmajor $44 - $55 92%
Aetnamajor $47 - $135 98%
Cignamajor $47 - $135 98%
Humanamajor $47 98%
Kaiser Permanentemajor $47 98%
Devoted Health $47 98%
+ 3 smaller / regional plans $47 - $114
Government programs also on file: Medicare.
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: 1000 Lincoln St, Fort Morgan, CO 80701
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals