CMS Price Transparency Data
Pneumonia vaccine injection
Facility: Caribou Medical Center
Billing Code: G0009 (HCPCS)
The BaseRate · fair price low confidence
A fair price for this
$52
about 1.1× the $48 Medicare rate · typically $13–$145
modeled estimate · not a bill or quote
Medicare pays $48 Fair price $52 Cash price $46 Hospital's list price $65
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
5 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 | $66 - $67 | 138% |
| Blue Cross Blue Shieldmajor | $31 - $255 | 65% |
| Aetnamajor | $27 - $158 | 56% |
| Cignamajor | $34 - $67 | 71% |
| Humanamajor | $31 - $252 | 65% |
| SelectHealth | $30 - $252 | 63% |
| + 6 smaller / regional plans | $31 - $252 |
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Other Procedures at Caribou Medical Center
Compare: Pneumonia vaccine injection at other ID hospitals
- Saint Alphonsus Regional Medical Center · Boise $30
- Clearwater Valley Hospital & Clinics · Orofino $38
- St Mary's Hospital · Cottonwood $38
- Bingham Memorial Hospital · Blackfoot $42
- Nell J Redfield Memorial Hospital · Malad City $45
- Madison Memorial Hospital · Rexburg $46
- Mountain View Hospital · Idaho Falls $46
- Kootenai Health · Coeur D'Alene $48
Insurance negotiated median for the same procedure, sorted lowest first.