CMS Price Transparency Data

Pneumonia vaccine injection

Facility: Northeast Georgia Medical Center Habersham

Billing Code: G0009 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$46
about 1.0× the $48 Medicare rate · typically $43–$62
modeled estimate · not a bill or quote
What this hospital charges insurers
$42
About the fair price
about $4 under the fair price · 0.9× Medicare
Medicare pays $48 Fair price $46 This hospital $42

How we calculate the fair BaseRate →

How this hospital compares to other GA hospitals

A typical price — 5 charge more and 3 charge less, among the 9 GA hospitals compared.

Cheapest $20 Priciest $45

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 $46 (about 1.0× the $48 Medicare rate). Northeast Georgia Medical Center Habersham charges insurers about $42 — about the fair price. Located in Demorest, GA.

What each insurance company pays

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

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

✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana UnitedHealthcareKaiser 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 $41 86%
Aetnamajor $42 88%
Cignamajor $42 88%
Humanamajor $43 90%

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Facility Profile & Credentials

  • Address: 541 Historic Highway 441-North, Demorest, GA 30535
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals