CMS Price Transparency Data

Pneumonia vaccine injection

Facility: St Mary's Hospital

Billing Code: G0009 (HCPCS)

The BaseRate · fair price low confidence
A fair price for this
$56
about 1.2× the $48 Medicare rate · typically $14–$159
modeled estimate · not a bill or quote
What this hospital charges insurers
$38
Below the fair price — a good deal
about $18 under the fair price · 0.8× Medicare
Medicare pays $48 Fair price $56 This hospital $38 Cash price $29 Hospital's list price $38

How we calculate the fair BaseRate →

How this hospital compares to other ID hospitals

One of the lower prices — 6 of 8 other ID hospitals charge more for the same procedure.

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 $56 (about 1.2× the $48 Medicare rate). St Mary's Hospital charges insurers about $38, or about $29 in cash — below the fair price — a good deal. Located in Cottonwood, ID.

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 $31 65%
Blue Cross Blue Shieldmajor $27 - $38 56%
Aetnamajor $31 - $35 65%
GEHA $37 77%
+ 4 smaller / regional plans $31 - $37
Government programs also on file: Medicare, Military & VA.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 701 Lewiston St, Cottonwood, ID 83522
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals