CMS Price Transparency Data

Pneumonia vaccine injection

Facility: York Hospital

Billing Code: G0009 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$57
about 1.2× the $48 Medicare rate · typically $34–$93
modeled estimate · not a bill or quote
What this hospital charges insurers
$39
Below the fair price — a good deal
about $18 under the fair price · 0.8× Medicare
Medicare pays $48 Fair price $57 This hospital $39 Cash price $34 Hospital's list price $56

How we calculate the fair BaseRate →

How this hospital compares to other ME hospitals

A typical price — 5 charge more and 3 charge less, among the 9 ME hospitals compared.

Cheapest $21 Priciest $46

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

A fair price for a Pneumonia vaccine injection is about $57 (about 1.2× the $48 Medicare rate). York Hospital charges insurers about $39, or about $34 in cash — below the fair price — a good deal. Located in York, ME.

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 $36 75%
Blue Cross Blue Shieldmajor $36 - $160 75%
Aetnamajor $7 15%
Cignamajor $219 458%
Harvard Pilgrim $38 79%
Tufts Health Plan $54 113%
+ 1 smaller / regional plan $39

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 15 Hospital Drive, York, ME 03909
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals