CMS Price Transparency Data
Pneumonia vaccine injection
Facility: M Health Fairview Ridges Hospital
Billing Code: G0009 (HCPCS)
The BaseRate · fair price high confidence
A fair price for this
$43
about 0.9× the $48 Medicare rate · typically $35–$65
modeled estimate · not a bill or quote
Medicare pays $48 Fair price $43 Cash price $17 Hospital's list price $40
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
2 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield AetnaCignaHumanaKaiser 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 | $35 - $71 | 73% |
| Blue Cross Blue Shieldmajor | $13 - $90 | 27% |
| HealthPartners | $16 - $161 | 33% |
| Medica | $15 - $79 | 31% |
| Sanford Health Plan | $24 - $45 | 50% |
| Security Health Plan | $30 - $45 | 63% |
| UCare | $14 - $103 | 29% |
| WellCare | $45 | 94% |
| + 5 smaller / regional plans | $15 - $45 |
Excludes 4 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.
Enter your details and press estimate to compare.
Other Procedures at M Health Fairview Ridges Hospital
Compare: Pneumonia vaccine injection at other MN hospitals
- Lakewood Health System · Staples $22
- Welia Health · Mora $26
- Meeker Memorial Hospital · Litchfield $30
- St Lukes Hospital · Duluth $34
- Gillette Childrens Specialty Hospital · Saint Paul $37
- Essentia Health Virginia · Virginia $45
- Essentia Health St Mary's Medical Center · Duluth $46
- Essentia Health Sandstone · Sandstone $46
Insurance negotiated median for the same procedure, sorted lowest first.