CMS Price Transparency Data

Pneumonia vaccine injection

Facility: St Joe Mercy Hospital System Livonia

Billing Code: G0009 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$27
about 0.6× the $48 Medicare rate · typically $18–$34
modeled estimate · not a bill or quote
What this hospital charges insurers
$34
Above the fair price
about $7 over the fair price · 0.7× Medicare
Medicare pays $48 Fair price $27 This hospital $34 Cash price $38 Hospital's list price $76

How we calculate the fair BaseRate →

How this hospital compares to other MI hospitals

Highest price of the 9 MI hospitals we have prices for — worth calling around.

Cheapest $22 Priciest $34

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

A fair price for a Pneumonia vaccine injection is about $27 (about 0.6× the $48 Medicare rate). St Joe Mercy Hospital System Livonia charges insurers about $34, or about $38 in cash — above the fair price. Located in Livonia, MI.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $27. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

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

6 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 $19 - $49 40%
Blue Cross Blue Shieldmajor $16 - $46 33%
Aetnamajor $13 - $61 27%
Cignamajor $23 - $61 48%
Humanamajor $23 - $48 48%
Kaiser Permanentemajor $27 56%
Ambetter (Centene) $23 48%
AmeriHealth $26 - $48 54%
CareSource $69 144%
Clover Health $34 71%
Dean Health Plan $26 - $49 54%
GEHA $24 - $49 50%
Health Net $23 - $76 48%
HealthPartners $23 - $47 48%
MagnaCare $26 - $48 54%
Medical Mutual $26 - $48 54%
Meridian $23 - $34 48%
Molina $23 - $61 48%
MVP Health Care $26 - $49 54%
Paramount $23 - $49 48%
Presbyterian $23 - $34 48%
Priority Health $44 - $112 92%
Tufts Health Plan $23 - $47 48%
UniCare $26 - $48 54%
WellMed $34 71%
WellSense $23 48%
+ 321 smaller / regional plans $12 - $105
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 13 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

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Facility Profile & Credentials

  • Address: 36475 Five Mile Road, Livonia, MI 48154
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals