CMS Price Transparency Data
Pneumonia vaccine injection
Facility: Atlantic General Hospital
Billing Code: G0009 (HCPCS)
The BaseRate · fair price medium confidence
A fair price for this
$97
about 2.0× the $48 Medicare rate · typically $36–$184
modeled estimate · not a bill or quote
What this hospital charges insurers
$96
About the fair price
about $1 under the fair price · 2.0× Medicare
Medicare pays $48 Fair price $97 This hospital $96 Cash price $96 Hospital's list price $96
A fair price for a Pneumonia vaccine injection is about $97 (about 2.0× the $48 Medicare rate). Atlantic General Hospital charges insurers about $96, or about $96 in cash — about the fair price. Located in Berlin, MD.
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
0 of 6 major insurers have a published price at this hospital
UnitedHealthcareBlue Cross Blue ShieldAetnaCignaHumanaKaiser 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 |
|---|---|---|
| No insurance-company prices are published for this procedure. | ||
| + 1 smaller / regional plan | $96 | |
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