CMS Price Transparency Data

Pneumonia vaccine injection

Facility: North Memorial Health Hospital

Billing Code: G0009 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$42
about 0.9× the $48 Medicare rate · typically $37–$62
modeled estimate · not a bill or quote
What this hospital charges insurers
$47
About the fair price
about $5 over the fair price · 1.0× Medicare
Medicare pays $48 Fair price $42 This hospital $47 Cash price $36 Hospital's list price $68

How we calculate the fair BaseRate →

How this hospital compares to other MN hospitals

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

Cheapest $22 Priciest $47

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

A fair price for a Pneumonia vaccine injection is about $42 (about 0.9× the $48 Medicare rate). North Memorial Health Hospital charges insurers about $47, or about $36 in cash — about the fair price. Located in Robbinsdale, MN.

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 $49 - $114 102%
Blue Cross Blue Shieldmajor $37 - $92 77%
Aetnamajor $51 107%
Cignamajor $39 82%
Humanamajor $47 98%
HealthPartners $37 - $47 77%
Medica $22 - $51 46%
UCare $47 - $85 98%
Government programs also on file: Medicare, Medicaid.
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 3300 Oakdale North, Robbinsdale, MN 55422
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals