Pneumonia vaccine injection
Facility: Mercy Health Saint Mary's
Billing Code: G0009 (HCPCS)
Highest price of the 9 MI hospitals we have prices for — worth calling around.
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 $32 (about 0.7× the $48 Medicare rate). Mercy Health Saint Mary's charges insurers about $32, or about $36 in cash — about the fair price. Located in Grand Rapids, MI.
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
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 | $17 - $55 | 36% |
| Blue Cross Blue Shieldmajor | $16 - $52 | 33% |
| Aetnamajor | $10 - $46 | 21% |
| Cignamajor | $17 - $40 | 36% |
| Humanamajor | $18 - $55 | 38% |
| Kaiser Permanentemajor | $52 | 109% |
| Ambetter (Centene) | $23 | 48% |
| AmeriHealth | $18 - $45 | 38% |
| CareSource | $15 - $36 | 31% |
| Clover Health | $32 | 67% |
| Dean Health Plan | $17 - $40 | 36% |
| GEHA | $14 - $42 | 29% |
| Health Net | $23 | 48% |
| HealthPartners | $23 - $25 | 48% |
| MagnaCare | $37 - $45 | 77% |
| Medical Mutual | $14 - $45 | 29% |
| Meridian | $23 - $32 | 48% |
| Molina | $23 - $61 | 48% |
| MVP Health Care | $17 - $40 | 36% |
| Oscar Health | $43 - $60 | 90% |
| Paramount | $17 - $40 | 36% |
| Presbyterian | $23 - $32 | 48% |
| Priority Health | $42 - $131 | 88% |
| Tufts Health Plan | $23 - $25 | 48% |
| UniCare | $18 - $45 | 38% |
| WellMed | $32 | 67% |
| WellSense | $23 | 48% |
| + 319 smaller / regional plans | $13 - $78 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Estimate your out-of-pocket cost
A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
Other Procedures at Mercy Health Saint Mary's
Compare: Pneumonia vaccine injection at other MI hospitals
- Ascension River District Hospital · East China $22
- McKenzie Health System · Sandusky $23
- Mercy Health Lakeshore Campus · Shelby $23
- Henry Ford Allegiance Health · Jackson $24
- Ascension Providence Hospital, Southfield and Novi · Southfield $25
- Huron Valley-Sinai Hospital · Commerce Township $26
- Henry Ford Health St John Hospital · Detroit $27
- Henry Ford Health Warren Hospital · Warren $27
Insurance negotiated median for the same procedure, sorted lowest first.