CMS Price Transparency Data
Pneumonia vaccine injection
Facility: Shenandoah Medical Center
Billing Code: G0009 (HCPCS)
The BaseRate · fair price low confidence
A fair price for this
$43
about 0.9× the $48 Medicare rate · typically $15–$145
modeled estimate · not a bill or quote
Medicare pays $48 Fair price $43 Cash price $7 Hospital's list price $11
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
3 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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 | $11 - $48 | 23% |
| Blue Cross Blue Shieldmajor | $29 - $56 | 61% |
| Aetnamajor | $11 | 23% |
| Amerigroup | $11 | 23% |
| Molina | $11 | 23% |
| + 3 smaller / regional plans | $11 |
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Shenandoah Medical Center
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.