CMS Price Transparency Data
Pneumonia vaccine injection
Facility: Christiana Hospital
Billing Code: G0009 (HCPCS)
The BaseRate · fair price high confidence
A fair price for this
$53
about 1.1× the $48 Medicare rate · typically $38–$105
modeled estimate · not a bill or quote
Medicare pays $48 Fair price $53 Cash price $38 Hospital's list price $38
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
2 of 6 major insurers have a published price at this hospital
✓ Blue Cross Blue Shield✓ Aetna UnitedHealthcareCignaHumanaKaiser 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 |
|---|---|---|
| Blue Cross Blue Shieldmajor | $48 - $75 | 100% |
| Aetnamajor | $52 - $71 | 109% |
| Ambetter (Centene) | $76 | 159% |
| AmeriHealth | $55 - $81 | 115% |
| Cigna HealthSpring | $51 | 107% |
| + 1 smaller / regional plan | $53 - $152 |
Self-Pay How to get the cash price
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Other Procedures at Christiana Hospital
Compare: Pneumonia vaccine injection at other DE hospitals
- St Francis Hospital · Wilmington $33
- Bayhealth Hospital, Sussex Campus · Milford $76
- Bayhealth Medical Center, Kent Campus · Dover $78
Insurance negotiated median for the same procedure, sorted lowest first.