CMS Price Transparency Data

Pneumonia vaccine injection

Facility: Gillette Childrens Specialty Hospital

Billing Code: G0009 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$35
about 0.7× the $48 Medicare rate · typically $17–$51
modeled estimate · not a bill or quote
What this hospital charges insurers
$37
About the fair price
about $2 over the fair price · 0.8× Medicare
Medicare pays $48 Fair price $35 This hospital $37

How we calculate the fair BaseRate →

How this hospital compares to other MN hospitals

A typical price — 4 charge more and 4 charge less, among the 9 MN hospitals compared.

Cheapest $22 Priciest $46

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 $35 (about 0.7× the $48 Medicare rate). Gillette Childrens Specialty Hospital charges insurers about $37 — about the fair price. Located in Saint Paul, MN.

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✓ Aetna CignaHumanaKaiser 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 $41 86%
Blue Cross Blue Shieldmajor $13 - $21 27%
Aetnamajor $48 100%
HealthPartners $36 - $61 75%
Medica $34 71%
UCare $38 79%

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Facility Profile & Credentials

  • Address: 200 University Avenue East, Saint Paul, MN 55106
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Childrens