CMS Price Transparency Data

Pneumonia vaccine injection

Facility: Grisell Memorial Hospital

Billing Code: G0009 (HCPCS)

The BaseRate · fair price low confidence
A fair price for this
$47
about 1.0× the $48 Medicare rate · typically $10–$165
modeled estimate · not a bill or quote
Medicare pays $48 Fair price $47 Cash price $44 Hospital's list price $47

How we calculate the fair BaseRate →

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✓ Humana AetnaCignaKaiser 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 $12 - $89 25%
Blue Cross Blue Shieldmajor $8 17%
Humanamajor $16 - $89 33%
Government programs also on file: Medicaid.

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 210 South Vermont Avenue, Ransom, KS 67572
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals