CMS Price Transparency Data
Pneumonia vaccine injection
Facility: Tufts Medical Center
Billing Code: G0009 (HCPCS)
The BaseRate · fair price medium confidence
A fair price for this
$59
about 1.2× the $48 Medicare rate · typically $47–$142
modeled estimate · not a bill or quote
Medicare pays $48 Fair price $59 Cash price $49 Hospital's list price $70
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 | $116 - $157 | 242% |
| Blue Cross Blue Shieldmajor | $12 - $116 | 25% |
| Aetnamajor | $8 - $116 | 17% |
| Cignamajor | $12 - $210 | 25% |
| AmeriHealth | $8 - $41 | 17% |
| AvMed | $8 - $41 | 17% |
| GEHA | $8 - $41 | 17% |
| Harvard Pilgrim | $108 - $157 | 226% |
| Tufts Health Plan | $7 - $210 | 15% |
| WellSense | $7 - $41 | 15% |
| + 105 smaller / regional plans | $8 - $157 |
Government programs also on file: Medicare, Medicaid.
Excludes 12 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Tufts 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.