CMS Price Transparency Data
Pneumonia vaccine injection
Facility: Penobscot Valley Hospital
Billing Code: G0009 (HCPCS)
The BaseRate · fair price low confidence
A fair price for this
$48
about 1.0× the $48 Medicare rate · typically $12–$111
modeled estimate · not a bill or quote
Medicare pays $48 Fair price $48 Cash price $22 Hospital's list price $27
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
5 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 | $12 - $22 | 25% |
| Blue Cross Blue Shieldmajor | $13 - $20 | 27% |
| Aetnamajor | $13 - $26 | 27% |
| Cignamajor | $25 | 52% |
| Humanamajor | $13 | 27% |
| Harvard Pilgrim | $26 | 54% |
| WellCare | $13 | 27% |
Government programs also on file: Medicare.
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Other Procedures at Penobscot Valley Hospital
Compare: Pneumonia vaccine injection at other ME hospitals
- Millinocket Regional Hospital · Millinocket $21
- Mainehealth Stephens Hospital · Norway $37
- Mainehealth Franklin Hospital · Farmington $38
- York Hospital · York $39
- Mainehealth Maine Medical Center · Portland $45
- Mainehealth Mid Coast Hospital · Brunswick $45
- Mainehealth Pen Bay Hospital · Rockport $45
- Lincolnhealth · Damariscotta $45
Insurance negotiated median for the same procedure, sorted lowest first.