CMS Price Transparency Data

Pneumonia vaccine injection

Facility: Chelsea Hospital

Billing Code: G0009 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$49
about 1.0× the $48 Medicare rate · typically $18–$61
modeled estimate · not a bill or quote
What this hospital charges insurers
$59
Above the fair price
about $10 over the fair price · 1.2× Medicare
Medicare pays $48 Fair price $49 This hospital $59 Cash price $38 Hospital's list price $59

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 $59

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 $49 (about 1.0× the $48 Medicare rate). Chelsea Hospital charges insurers about $59, or about $38 in cash — above the fair price. Located in Chelsea, 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 $49. 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 $28 - $51 59%
Blue Cross Blue Shieldmajor $16 - $59 33%
Aetnamajor $19 - $52 40%
Cignamajor $29 - $54 61%
Humanamajor $27 - $51 56%
Kaiser Permanentemajor $59 123%
AmeriHealth $27 - $51 56%
CareSource $63 132%
Dean Health Plan $31 - $57 65%
GEHA $23 - $51 48%
Health Net $41 - $76 86%
HealthPartners $32 - $59 67%
MagnaCare $27 - $51 56%
Medical Mutual $27 - $51 56%
Molina $61 128%
MVP Health Care $31 - $57 65%
Paramount $31 - $57 65%
Priority Health $106 - $118 222%
Tufts Health Plan $32 - $59 67%
UniCare $27 - $51 56%
+ 124 smaller / regional plans $11 - $105
Government programs also on file: Medicare, Medicaid.
Excludes 10 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

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 775 S Main St, Chelsea, MI 48118
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals