CMS Price Transparency Data
Pneumonia vaccine injection
Facility: George C Grape Community Hospital
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–$160
modeled estimate · not a bill or quote
Medicare pays $48 Fair price $48 Cash price $21 Hospital's list price $24
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 | $22 - $23 | 46% |
| Blue Cross Blue Shieldmajor | $37 - $41 | 77% |
| Aetnamajor | $21 - $22 | 44% |
| Cignamajor | $22 - $23 | 46% |
| Humanamajor | $12 | 25% |
| + 1 smaller / regional plan | $22 - $23 |
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Other Procedures at George C Grape Community Hospital
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.