CMS Price Transparency Data

Pneumonia vaccine injection

Facility: University of Kentucky Hospital

Billing Code: G0009 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$59
about 1.2× the $48 Medicare rate · typically $46–$85
modeled estimate · not a bill or quote
What this hospital charges insurers
$62
About the fair price
about $3 over the fair price · 1.3× Medicare
Medicare pays $48 Fair price $59 This hospital $62 Cash price $44 Hospital's list price $110

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 $62

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 $59 (about 1.2× the $48 Medicare rate). University of Kentucky Hospital charges insurers about $62, or about $44 in cash — about the fair price. Located in Lexington, KY.

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

✓ UnitedHealthcare✓ Aetna Blue Cross Blue ShieldCignaHumanaKaiser 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 $47 98%
Aetnamajor $46 96%
WellCare $78 163%
+ 1 smaller / regional plan $114

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 800 Rose Street, Lexington, KY 40536
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - State
  • Hospital Type: Acute Care Hospitals