CMS Price Transparency Data

Pneumonia vaccine injection

Facility: Atrium Health Floyd Medical Center

Billing Code: G0009 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$46
about 1.0× the $48 Medicare rate · typically $46–$47
modeled estimate · not a bill or quote
What this hospital charges insurers
$45
About the fair price
about $1 under the fair price · 0.9× Medicare
Medicare pays $48 Fair price $46 This hospital $45 Cash price $46 Hospital's list price $92

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 $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). Atrium Health Floyd Medical Center charges insurers about $45, or about $46 in cash — about the fair price. Located in Rome, GA.

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 $45 - $69 94%
Blue Cross Blue Shieldmajor $45 - $69 94%
Aetnamajor $45 - $63 94%
Cignamajor $45 - $55 94%
Humanamajor $45 - $60 94%
Ambetter (Centene) $67 140%
Amerigroup $16 33%
CareSource $16 - $67 33%
Clover Health $46 96%
Oscar Health $18 - $32 38%
WellCare $46 96%
+ 7 smaller / regional plans $18 - $78
Government programs also on file: Medicaid.
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 304 Turner McCall Boulevard, Rome, GA 30162
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals