CMS Price Transparency Data

Pneumonia vaccine injection

Facility: Lincolnhealth

Billing Code: G0009 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$43
about 0.9× the $48 Medicare rate · typically $16–$113
modeled estimate · not a bill or quote
What this hospital charges insurers
$45
About the fair price
about $2 over the fair price · 0.9× Medicare
Medicare pays $48 Fair price $43 This hospital $45

How we calculate the fair BaseRate →

How this hospital compares to other ME hospitals

A typical price — 1 charge more and 4 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 $43 (about 0.9× the $48 Medicare rate). Lincolnhealth charges insurers about $45 — about the fair price. Located in Damariscotta, ME.

What each insurance company pays

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

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

✓ Blue Cross Blue Shield✓ Aetna✓ Humana UnitedHealthcareCignaKaiser 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 $45 - $276 94%
Aetnamajor $30 - $38 63%
Humanamajor $34 71%
Harvard Pilgrim $59 123%
+ 1 smaller / regional plan $68

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Facility Profile & Credentials

  • Address: 35 Miles Street, Damariscotta, ME 04543
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals