CMS Price Transparency Data
Pneumonia vaccine injection
Facility: SSM Health St. Mary's Hospital - Jefferson City
Billing Code: G0009 (HCPCS)
The BaseRate · fair price high confidence
A fair price for this
$67
about 1.4× the $48 Medicare rate · typically $46–$90
modeled estimate · not a bill or quote
Medicare pays $48 Fair price $67 Cash price $33 Hospital's list price $60
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 | $47 | 98% |
| Blue Cross Blue Shieldmajor | $44 - $103 | 92% |
| Humanamajor | $48 | 100% |
| Ambetter (Centene) | $47 | 98% |
| + 4 smaller / regional plans | $49 - $84 |
Self-Pay How to get the cash price
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Other Procedures at SSM Health St. Mary's Hospital - Jefferson City
Compare: Pneumonia vaccine injection at other MO hospitals
- Harrison County Community Hospital · Bethany $21
- Mosaic Life Care at St Joseph · Saint Joseph $22
- Long Term Acute Care Hospital Mosaic Life Care at St Joseph · Saint Joseph $22
- Putnam County Memorial Hospital · Unionville $24
- University Health Lakewood Medical Center · Kansas City $31
- Cox Monett Hospital · Monett $31
- Cox Medical Centers · Springfield $32
- SSM Health Saint Louis University Hospital · Saint Louis $39
Insurance negotiated median for the same procedure, sorted lowest first.