CMS Price Transparency Data

Pneumonia vaccine injection

Facility: Mercy Medical Center-New Hampton

Billing Code: G0009 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$24
about 0.5× the $48 Medicare rate · typically $14–$86
modeled estimate · not a bill or quote
What this hospital charges insurers
$25
About the fair price
about $1 over the fair price · 0.5× Medicare
Medicare pays $48 Fair price $24 This hospital $25 Cash price $48 Hospital's list price $59

How we calculate the fair BaseRate →

How this hospital compares to other IA hospitals

A typical price — 2 charge more and 3 charge less, among the 9 IA hospitals compared.

Cheapest $20 Priciest $26

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 $24 (about 0.5× the $48 Medicare rate). Mercy Medical Center-New Hampton charges insurers about $25, or about $48 in cash — about the fair price. Located in New Hampton, 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 - $78 10%
Blue Cross Blue Shieldmajor $5 - $35 10%
Aetnamajor $8 - $83 17%
Cignamajor $5 - $85 10%
Humanamajor $5 - $50 10%
Kaiser Permanentemajor $25 52%
Ambetter (Centene) $5 - $59 10%
Clover Health $30 63%
GEHA $12 - $61 25%
Health Net $5 - $78 10%
HealthPartners $5 - $85 10%
Medica $19 - $85 40%
Medical Mutual $19 - $83 40%
Meridian $5 - $30 10%
Molina $5 10%
Oscar Health $12 - $78 25%
Paramount $5 10%
Presbyterian $5 - $30 10%
Sanford Health Plan $39 - $54 82%
Tufts Health Plan $5 10%
UCare $18 38%
WellMed $30 63%
WellSense $5 10%
+ 361 smaller / regional plans $5 - $88
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 14 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 308 North Maple Avenue, New Hampton, IA 50659
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Critical Access Hospitals