CMS Price Transparency Data

Pneumonia vaccine injection

Facility: Mainehealth Stephens Hospital

Billing Code: G0009 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$40
about 0.8× the $48 Medicare rate · typically $17–$99
modeled estimate · not a bill or quote
What this hospital charges insurers
$37
About the fair price
about $3 under the fair price · 0.8× Medicare
Medicare pays $48 Fair price $40 This hospital $37

How we calculate the fair BaseRate →

How this hospital compares to other ME hospitals

One of the lower prices — 7 of 8 other ME hospitals charge more for the same procedure.

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 $40 (about 0.8× the $48 Medicare rate). Mainehealth Stephens Hospital charges insurers about $37 — about the fair price. Located in Norway, 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✓ Humana CignaKaiser 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 $34 71%
Blue Cross Blue Shieldmajor $30 - $212 63%
Aetnamajor $30 - $38 63%
Humanamajor $34 71%
Harvard Pilgrim $59 123%
WellCare $36 75%
+ 1 smaller / regional plan $68

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Facility Profile & Credentials

  • Address: 181 Main Street, Norway, ME 04268
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals