CMS Price Transparency Data

Pneumonia vaccine injection

Facility: Atrium Health Navicent Rehabilitation Hopsital

Billing Code: G0009 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$44
about 0.9× the $48 Medicare rate · typically $19–$81
modeled estimate · not a bill or quote
What this hospital charges insurers
$46
About the fair price
about $2 over the fair price · 1.0× Medicare
Medicare pays $48 Fair price $44 This hospital $46

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 $46

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 $44 (about 0.9× the $48 Medicare rate). Atrium Health Navicent Rehabilitation Hopsital charges insurers about $46 — about the fair price. Located in Macon, 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✓ Humana✓ Kaiser Permanente Cigna

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 $46 96%
Blue Cross Blue Shieldmajor $46 96%
Aetnamajor $46 96%
Humanamajor $46 96%
Kaiser Permanentemajor $22 46%
Clover Health $47 98%
+ 5 smaller / regional plans $46 - $55

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Facility Profile & Credentials

  • Address: 3351 Northside Dr, Macon, GA 31210
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL