CMS Price Transparency Data

Pneumonia vaccine injection

Facility: Kootenai Health

Billing Code: G0009 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$46
about 1.0× the $48 Medicare rate · typically $28–$48
modeled estimate · not a bill or quote
What this hospital charges insurers
$48
About the fair price
about $2 over the fair price · 1.0× Medicare
Medicare pays $48 Fair price $46 This hospital $48 Cash price $61 Hospital's list price $81

How we calculate the fair BaseRate →

How this hospital compares to other ID hospitals

Highest price of the 9 ID hospitals we have prices for — worth calling around.

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 $46 (about 1.0× the $48 Medicare rate). Kootenai Health charges insurers about $48, or about $61 in cash — about the fair price. Located in Coeur D'Alene, 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 $24 - $73 50%
Blue Cross Blue Shieldmajor $17 - $73 36%
Aetnamajor $27 - $67 56%
Cignamajor $66 - $67 138%
Humanamajor $48 100%
Kaiser Permanentemajor $174 364%
Molina $8 - $50 17%
PacificSource $49 - $66 102%
+ 5 smaller / regional plans $8 - $70

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Facility Profile & Credentials

  • Address: 2003 Kootenai Health Way, Coeur D'Alene, ID 83814
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals