Pneumonia vaccine injection
Facility: Mercyone Clinton Medical Center
Billing Code: G0009 (HCPCS)
This hospital's typical commercial price is $27 compared to the $36 fair price benchmark.
4-Star CMS clinical quality rating paired with 0.75× fair market pricing.
Highest price of the 9 IA hospitals we have prices for — worth calling around.
Black dot = this hospital, among the 9 IA hospitals with a price for this procedure. Full list below.
A fair price for a Pneumonia vaccine injection is about $36 (about 0.8× the $48 Medicare rate). Mercyone Clinton Medical Center charges insurers about $27, or about $57 in cash — below the fair price — a good deal. Located in Clinton, IA.
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
6 of 6 major insurers have a published price at this hospital
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 | $5 - $105 | 10% |
| Blue Cross Blue Shieldmajor | $5 - $49 | 10% |
| Aetnamajor | $14 - $78 | 29% |
| Cignamajor | $5 - $79 | 10% |
| Humanamajor | $5 - $50 | 10% |
| Kaiser Permanentemajor | $25 - $48 | 52% |
| Ambetter (Centene) | $5 - $84 | 10% |
| Clover Health | $30 | 63% |
| GEHA | $14 - $105 | 29% |
| Health Net | $5 - $78 | 10% |
| HealthPartners | $5 - $77 | 10% |
| Medica | $18 - $79 | 38% |
| Medical Mutual | $17 - $77 | 36% |
| Meridian | $5 - $30 | 10% |
| Molina | $5 | 10% |
| Oscar Health | $68 - $78 | 142% |
| Paramount | $5 | 10% |
| Presbyterian | $5 - $30 | 10% |
| Sanford Health Plan | $54 | 113% |
| Tufts Health Plan | $5 | 10% |
| UCare | $18 | 38% |
| WellMed | $30 | 63% |
| WellSense | $5 | 10% |
| + 363 smaller / regional plans | $5 - $100 |
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.
Other Procedures at Mercyone Clinton Medical Center
Compare: Pneumonia vaccine injection at other IA hospitals
- Greene County Medical Center · Jefferson $20
- Winnmed · Decorah $20
- Iowa Specialty Hospital - Belmond · Belmond $24
- Mercyone Des Moines Medical Center · Des Moines $25
- Mercyone Elkader Medical Center · Elkader $25
- Mercy Medical Center-New Hampton · New Hampton $25
- Mercyone Centerville Medical Center · Centerville $25
- Iowa Specialty Hospital - Clarion · Clarion $26
Insurance negotiated median for the same procedure, sorted lowest first.
Audit a Bill or Quote at Mercyone Clinton Medical Center (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $28
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $28).
Self-Pay Cash Rate ($57) Beats Your Bill
Mercyone Clinton Medical Center's published 45 CFR § 180 self-pay cash rate is $57 (vs. $27 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $36 Fair BaseRate ($48 Medicare)
Your bill ($78) is $42 above the denoised Fair BaseRate ($36) and 1.6× the $48 Medicare rate.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.