CMS Price Transparency Data
Pneumonia vaccine injection
Facility: Clay County Hospital
Billing Code: G0009 (HCPCS)
The BaseRate · fair price low confidence
A fair price for this
$42
about 0.9× the $48 Medicare rate · typically $13–$116
modeled estimate · not a bill or quote
Medicare pays $48 Fair price $42 Cash price $72 Hospital's list price $72
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
4 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 | $19 - $58 | 40% |
| Blue Cross Blue Shieldmajor | $15 - $53 | 31% |
| Aetnamajor | $19 - $57 | 40% |
| Cignamajor | $58 | 121% |
| Ambetter (Centene) | $19 | 40% |
| HealthLink | $47 - $58 | 98% |
| Medica | $19 - $45 | 40% |
| Meridian | $19 | 40% |
| WellCare | $19 | 40% |
| + 1 smaller / regional plan | $68 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Estimate your out-of-pocket cost
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Other Procedures at Clay County Hospital
Compare: Pneumonia vaccine injection at other IL hospitals
- Blessing Hospital · Quincy $23
- Kirby Medical Center · Monticello $23
- Salem Township Hospital · Salem $32
- Northwest Community Hospital 1 · Arlington Heights $36
- Genesis Hlth System DBA Genesis Mdl Ctr-Illini · Silvis $39
- Memorial Hospital · Belleville $47
- Saint Anthony Hospital · Chicago $48
- Trinity Rock Island · Rock Island $49
Insurance negotiated median for the same procedure, sorted lowest first.