CMS Price Transparency Data

Pneumonia vaccine injection

Facility: UMass Memorial Healthalliance Hospitals

Billing Code: G0009 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$53
about 1.1× the $48 Medicare rate · typically $38–$60
modeled estimate · not a bill or quote
What this hospital charges insurers
$60
About the fair price
about $7 over the fair price · 1.3× Medicare
Medicare pays $48 Fair price $53 This hospital $60 Cash price $146 Hospital's list price $146

How we calculate the fair BaseRate →

How this hospital compares to other MA hospitals

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

Cheapest $47 Priciest $60

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

A fair price for a Pneumonia vaccine injection is about $53 (about 1.1× the $48 Medicare rate). UMass Memorial Healthalliance Hospitals charges insurers about $60, or about $146 in cash — about the fair price. Located in Leominster, MA.

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 $49 - $146 102%
Blue Cross Blue Shieldmajor $20 - $59 42%
Aetnamajor $60 - $95 125%
Cignamajor $57 - $138 119%
Harvard Pilgrim $60 - $95 125%
Tufts Health Plan $57 - $97 119%
+ 12 smaller / regional plans $57 - $294
Government programs also on file: Medicare, Medicaid, Military & VA.
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: 60 Hospital Road, Leominster, MA 01453
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals