CMS Price Transparency Data

Pneumonia vaccine injection

Facility: Wellstar Spalding Medical Center

Billing Code: G0009 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$53
about 1.1× the $48 Medicare rate · typically $47–$84
modeled estimate · not a bill or quote
What this hospital charges insurers
$81
Above the fair price
about $28 over the fair price · 1.7× Medicare
Medicare pays $48 Fair price $53 This hospital $81 Cash price $63 Hospital's list price $161

How we calculate the fair BaseRate →

How this hospital compares to other GA hospitals

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

Cheapest $20 Priciest $81

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

A fair price for a Pneumonia vaccine injection is about $53 (about 1.1× the $48 Medicare rate). Wellstar Spalding Medical Center charges insurers about $81, or about $63 in cash — above the fair price. Located in Griffin, GA.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $53. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

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

3 of 6 major insurers have a published price at this hospital

✓ Blue Cross Blue Shield✓ Aetna✓ Cigna UnitedHealthcareHumanaKaiser 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 - $179 100%
Aetnamajor $47 98%
Cignamajor $49 102%
Ambetter (Centene) $83 173%
CareSource $92 192%
Clover Health $50 105%
Oscar Health $80 167%
+ 1 smaller / regional plan $87

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 601 South 8Th Street, Griffin, GA 30223
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals