CMS Price Transparency Data
Pneumonia vaccine injection
Facility: North Shore Medical Center -
Billing Code: G0009 (HCPCS)
The BaseRate · fair price high confidence
A fair price for this
$54
about 1.1× the $48 Medicare rate · typically $46–$79
modeled estimate · not a bill or quote
Medicare pays $48 Fair price $54 Cash price $21 Hospital's list price $28
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✓ Humana CignaKaiser 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 | $54 | 113% |
| Blue Cross Blue Shieldmajor | $55 | 115% |
| Aetnamajor | $56 | 117% |
| Humanamajor | $55 | 115% |
| Tufts Health Plan | $54 | 113% |
| + 2 smaller / regional plans | $54 - $55 |
Government programs also on file: Medicare.
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Other Procedures at North Shore Medical Center -
Compare: Pneumonia vaccine injection at other MA hospitals
- Metrowest Medical Center · Framingham $47
- Milford Regional Medical Center · Milford $50
- St Vincent Hospital · Worcester $52
- South Shore Hospital · South Weymouth $53
- Beth Israel Deaconess Hospital - Milton · Milton $53
- Boston Children's Hospital · Boston $53
- Mount Auburn Hospital · Cambridge $55
- Signature Healthcare Brockton Hospital · Brockton $55
Insurance negotiated median for the same procedure, sorted lowest first.