CMS Price Transparency Data

Pneumonia vaccine injection

Facility: Baptist Health Hardin

Billing Code: G0009 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$43
about 0.9× the $48 Medicare rate · typically $22–$68
modeled estimate · not a bill or quote
What this hospital charges insurers
$46
About the fair price
about $3 over the fair price · 1.0× Medicare
Medicare pays $48 Fair price $43 This hospital $46 Cash price $138 Hospital's list price $184

How we calculate the fair BaseRate →

How this hospital compares to other KY hospitals

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

Cheapest $32 Priciest $46

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

A fair price for a Pneumonia vaccine injection is about $43 (about 0.9× the $48 Medicare rate). Baptist Health Hardin charges insurers about $46, or about $138 in cash — about the fair price. Located in Elizabethtown, KY.

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 $17 - $53 36%
Blue Cross Blue Shieldmajor $17 - $184 36%
Aetnamajor $17 - $100 36%
Cignamajor $147 307%
Humanamajor $17 - $65 36%
CareSource $91 190%
HealthLink $88 184%
Molina $17 36%
WellCare $17 - $46 36%
+ 4 smaller / regional plans $46 - $129
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 913 North Dixie Avenue, Elizabethtown, KY 42701
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals