CMS Price Transparency Data

Pneumonia vaccine injection

Facility: Martha's Vineyard Hospital Inc

Billing Code: G0009 (HCPCS)

The BaseRate · fair price low confidence
A fair price for this
$50
about 1.0× the $48 Medicare rate · typically $19–$179
modeled estimate · not a bill or quote
Medicare pays $48 Fair price $50 Cash price $21 Hospital's list price $28

How we calculate the fair BaseRate →

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

1 of 6 major insurers have a published price at this hospital

✓ Blue Cross Blue Shield UnitedHealthcareAetnaCignaHumanaKaiser 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
Blue Cross Blue Shieldmajor $59 123%
Government programs also on file: Medicare.

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: One Hospital Road, First Fl, Wing 5, Po Box 1477, Oak Bluffs, MA 02557
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals