CMS Price Transparency Data

Pneumonia vaccine injection

Facility: St Gabriels Hospital

Billing Code: G0009 (HCPCS)

The BaseRate · fair price low confidence
A fair price for this
$44
about 0.9× the $48 Medicare rate · typically $16–$136
modeled estimate · not a bill or quote
Medicare pays $48 Fair price $44 Cash price $12 Hospital's list price $20

How we calculate the fair BaseRate →

What each insurance company pays

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

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Humana AetnaCignaKaiser 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 $15 - $16 31%
Blue Cross Blue Shieldmajor $6 - $11 13%
Humanamajor $7 15%
HealthPartners $7 - $12 15%
Medica $7 15%
Sanford Health Plan $19 40%
UCare $8 - $18 17%
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 815 Southeast Second Street, Little Falls, MN 56345
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals