CMS Price Transparency Data

Pneumonia vaccine injection

Facility: Saint Alphonsus Regional Medical Center

Billing Code: G0009 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$41
about 0.9× the $48 Medicare rate · typically $22–$56
modeled estimate · not a bill or quote
What this hospital charges insurers
$30
Below the fair price — a good deal
about $11 under the fair price · 0.6× Medicare
Medicare pays $48 Fair price $41 This hospital $30 Cash price $57 Hospital's list price $66

How we calculate the fair BaseRate →

How this hospital compares to other ID hospitals

Lowest price of the 9 ID hospitals we have prices for — a strong deal.

Cheapest $30 Priciest $48

Black dot = this hospital, among the 9 ID hospitals with a price for this procedure. Full list below.

A fair price for a Pneumonia vaccine injection is about $41 (about 0.9× the $48 Medicare rate). Saint Alphonsus Regional Medical Center charges insurers about $30, or about $57 in cash — below the fair price — a good deal. Located in Boise, ID.

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 $9 - $54 19%
Blue Cross Blue Shieldmajor $5 - $985 10%
Aetnamajor $9 - $51 19%
Cignamajor $15 - $781 31%
Humanamajor $17 - $54 36%
Kaiser Permanentemajor $23 - $70 48%
Ambetter (Centene) $17 36%
Clover Health $30 63%
Dean Health Plan $49 - $70 102%
GEHA $14 - $50 29%
Health Net $17 - $66 36%
HealthPartners $17 36%
Meridian $17 - $30 36%
Moda Health $9 - $98 19%
Molina $17 - $119 36%
PacificSource $31 - $45 65%
Paramount $17 - $70 36%
Presbyterian $17 - $30 36%
Priority Health $34 - $781 71%
SelectHealth $15 - $60 31%
Tufts Health Plan $17 36%
WellMed $30 63%
WellSense $17 36%
+ 227 smaller / regional plans $8 - $985
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 6 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1055 North Curtis Road, Boise, ID 83706
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals