CMS Price Transparency Data

Pneumonia vaccine injection

Facility: Holy Family Medical Center

Billing Code: G0009 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$45
about 0.9× the $48 Medicare rate · typically $14–$69
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 $49 Hospital's list price $87

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). Holy Family Medical Center charges insurers about $50, or about $49 in cash — about the fair price. Located in Des Plaines, 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 $33 - $62 69%
Blue Cross Blue Shieldmajor $34 - $70 71%
Aetnamajor $34 - $52 71%
Cignamajor $50 105%
Humanamajor $34 - $55 71%
Ambetter (Centene) $81 169%
Devoted Health $50 105%
Health Net $60 125%
HealthPartners $50 - $57 105%
Meridian $35 - $52 73%
Molina $35 - $75 73%
WellCare $50 105%
+ 10 smaller / regional plans $15 - $77
Government programs also on file: Medicare, Medicaid, Military & VA.

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Facility Profile & Credentials

  • Address: 100 N River Rd, Des Plaines, IL 60016
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL