CMS Price Transparency Data

Pneumonia vaccine injection

Facility: Mercyone Clinton Medical Center

Billing Code: G0009 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$31
about 0.6× the $48 Medicare rate · typically $27–$49
modeled estimate · not a bill or quote
What this hospital charges insurers
$27
Below the fair price — a good deal
about $4 under the fair price · 0.6× Medicare
Medicare pays $48 Fair price $31 This hospital $27 Cash price $57 Hospital's list price $78

How we calculate the fair BaseRate →

How this hospital compares to other IA hospitals

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

Cheapest $20 Priciest $27

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 $31 (about 0.6× 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

✓ 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 $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
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 15 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1410 North 4Th Street, Clinton, IA 52732
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals