CMS Price Transparency Data

Pneumonia vaccine injection

Facility: Hawarden Regional Healthcare

Billing Code: G0009 (HCPCS)

The BaseRate · fair price low confidence
A fair price for this
$48
about 1.0× the $48 Medicare rate · typically $16–$175
modeled estimate · not a bill or quote
What this hospital charges insurers
$36
Below the fair price — a good deal
about $12 under the fair price · 0.8× Medicare
Medicare pays $48 Fair price $48 This hospital $36 Cash price $67 Hospital's list price $79

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 $36

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 $48 (about 1.0× the $48 Medicare rate). Hawarden Regional Healthcare charges insurers about $36, or about $67 in cash — below the fair price — a good deal. Located in Hawarden, IA.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield AetnaCignaHumanaKaiser 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 $32 67%
Blue Cross Blue Shieldmajor $22 - $43 46%
HealthPartners $43 - $82 90%
Oscar Health $34 - $65 71%
+ 1 smaller / regional plan $42 - $80

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 1111 11Th Street, Hawarden, IA 51023
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals