CMS Price Transparency Data

Pneumonia vaccine injection

Facility: Saint James Hospital

Billing Code: G0009 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$50
about 1.0× the $48 Medicare rate · typically $45–$51
modeled estimate · not a bill or quote
What this hospital charges insurers
$51
About the fair price
about $1 over the fair price · 1.1× Medicare
Medicare pays $48 Fair price $50 This hospital $51 Cash price $132 Hospital's list price $165

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 $51

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 $50 (about 1.0× the $48 Medicare rate). Saint James Hospital charges insurers about $51, or about $132 in cash — about the fair price. Located in Pontiac, IL.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

2 of 6 major insurers have a published price at this hospital

✓ Blue Cross Blue Shield✓ Aetna UnitedHealthcareCignaHumanaKaiser 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
Blue Cross Blue Shieldmajor $51 107%
Aetnamajor $51 107%
+ 1 smaller / regional plan $50

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Facility Profile & Credentials

  • Address: 2500 West Reynolds Street, Pontiac, IL 61764
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals