CMS Price Transparency Data

Pneumonia vaccine injection

Facility: HCA Florida Northwest Hospital

Billing Code: G0009 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$81
about 1.7× the $48 Medicare rate · typically $51–$158
modeled estimate · not a bill or quote
What this hospital charges insurers
$77
About the fair price
about $4 under the fair price · 1.6× Medicare
Medicare pays $48 Fair price $81 This hospital $77 Cash price $205 Hospital's list price $205

How we calculate the fair BaseRate →

How this hospital compares to other FL hospitals

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

Cheapest $26 Priciest $77

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

A fair price for a Pneumonia vaccine injection is about $81 (about 1.7× the $48 Medicare rate). HCA Florida Northwest Hospital charges insurers about $77, or about $205 in cash — about the fair price. Located in Margate, FL.

What each insurance company pays

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

5 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 $92 192%
Blue Cross Blue Shieldmajor $20 - $46 42%
Aetnamajor $28 - $62 59%
Cignamajor $43 90%
Humanamajor $43 - $70 90%
AmeriHealth $35 73%
AvMed $27 - $102 56%
Medica $119 249%
Molina $39 - $55 82%
Oscar Health $33 69%
Simply Healthcare $27 - $28 56%
+ 7 smaller / regional plans $18 - $102
Excludes 6 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 2801 N State Rd 7, Margate, FL 33063
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals