CMS Price Transparency Data

Pneumonia vaccine injection

Facility: Carle Health Proctor Hospital

Billing Code: G0009 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$45
about 0.9× the $48 Medicare rate · typically $45–$50
modeled estimate · not a bill or quote
What this hospital charges insurers
$50
About the fair price
about $5 over the fair price · 1.0× Medicare
Medicare pays $48 Fair price $45 This hospital $50 Cash price $91 Hospital's list price $91

How we calculate the fair BaseRate →

How this hospital compares to other IL hospitals

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

Cheapest $23 Priciest $50

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

A fair price for a Pneumonia vaccine injection is about $45 (about 0.9× the $48 Medicare rate). Carle Health Proctor Hospital charges insurers about $50, or about $91 in cash — about the fair price. Located in Peoria, IL.

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 $32 - $151 67%
Blue Cross Blue Shieldmajor $35 - $50 73%
Aetnamajor $10 - $110 21%
Cignamajor $61 128%
Humanamajor $50 105%
HealthLink $50 - $59 105%
Meridian $58 121%
Molina $27 - $50 56%
WellCare $50 105%
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: 5409 N Knoxville Ave, Peoria, IL 61354
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals