CMS Price Transparency Data

Pneumonia vaccine injection

Facility: Story County Hospital

Billing Code: G0009 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$47
about 1.0× the $48 Medicare rate · typically $19–$136
modeled estimate · not a bill or quote
What this hospital charges insurers
$42
Below the fair price — a good deal
about $5 under the fair price · 0.9× Medicare
Medicare pays $48 Fair price $47 This hospital $42 Cash price $33 Hospital's list price $42

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 $42

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 $47 (about 1.0× the $48 Medicare rate). Story County Hospital charges insurers about $42, or about $33 in cash — below the fair price — a good deal. Located in Nevada, IA.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser 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 $16 - $62 33%
Blue Cross Blue Shieldmajor $13 - $62 27%
Aetnamajor $13 - $62 27%
Humanamajor $13 - $62 27%
HealthPartners $13 - $62 27%
Molina $16 - $62 33%
+ 1 smaller / regional plan $16 - $62

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 640 South 19Th Street, Nevada, IA 50201
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals