CMS Price Transparency Data

Pneumonia vaccine injection

Facility: Johnson Memorial Hospital

Billing Code: G0009 (HCPCS)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: G0009
  • Insurance Median: $143
  • Cash Discount Price: $95
  • vs. Medicare Baseline: 2.99x Medicare
The contracted insurance negotiated median rate for a Pneumonia vaccine injection at Johnson Memorial Hospital is $143. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $95. Compared to the federal Medicare reimbursement reference rate of $47.84, this hospital’s rate is 2.99x the Medicare baseline. Located in 201 Chestnut Hill Road, Stafford Springs, CT.
Cash / Self-Pay
$95

Average discount available for prompt cash payment at this facility.

Insurance Median
$143

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$47.84

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $47.84 (100%)
Cash / Self-Pay: $95 (199%)
Insurance Median: $143 (299%)
Cash: $95 (199% of Medicare)
Ins. Median: $143 (299% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $47.84 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 299% of the Medicare baseline (a markup of 199%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Blue Cross Blue Shield $55 - $172 115%
Aetna $55 - $134 115%
UnitedHealthcare $55 - $172 115%
Medicare (plans) $55 - $58 115%
Cca Senior Care Options $56 117%
Cigna $57 - $157 119%
Geha $69 144%
Harvard Pilgrim Healthcare $69 144%
Fallon Health $73 153%
Health New England $112 234%
Diversified Administrators $118 247%
Innovative Health Plan II $118 247%
Claimdoc $118 247%
Centivo $131 274%
Webtpa $134 280%
Gravie Admin Services $134 280%
1199 National Benefit Fund $134 280%
Nippon Life Ins $134 280%
Meritain $134 280%
Luminare Health $134 280%
Hap $134 280%
Allied Benefit Systems $134 280%
Prime Health Services $138 288%
Pan-American Life $143 299%
Pai $143 299%
Manhattan Life $143 299%
Allied National Global Care $143 299%
Lifetime Benefit Solutions $143 299%
Dean Health $143 299%
Ghc Scw $143 299%
Family Life Insurance Company $143 299%
Mvp $143 299%
Paramount HMO $143 299%
PHCS $143 299%
Trinity Health Share $143 299%
International Benefit Administrators $143 299%
Multiplan $143 299%
Christian Care Ministry $143 299%
Medi Share $143 299%
Asrm - Reliance Standard Life Insurance $143 299%
Health Smart $146 305%
Health Partners $157 328%
Magnacare $157 328%
Allegiance $157 328%
Blue Shield - PA (Highmark) $172 360%
United Behavioral Health Eap $172 360%
Wellpoint $172 360%
Connecticare $172 360%
Blue Care Network $172 360%
Blue Shield - Ca $172 360%
Bcn Domestic $172 360%
Unicare $172 360%
Blue Shield - Ny Highmark Western $172 360%
Blue Distinction Transplant $172 360%
Health Choices $172 360%
Pre-Employment $172 360%
Wc Domestic $172 360%
Blue Shield - Wa (Regence) $172 360%
Blue Shield - Ny Highmark Northeastern $172 360%
Blue Shield - Id (Regence) $172 360%
Kaiser Domestic $172 360%
Blue Benefit Administrators of Massachusetts $172 360%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 201 Chestnut Hill Road, Stafford Springs, CT 06076
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals