CMS Price Transparency Data
Pneumonia vaccine injection
Facility: Sheridan Memorial Hosptial
Billing Code: G0009 (HCPCS)
The BaseRate · fair price low confidence
A fair price for this
$38
about 0.8× the $48 Medicare rate · typically $12–$147
modeled estimate · not a bill or quote
Medicare pays $48 Fair price $38 Cash price $34 Hospital's list price $38
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
1 of 6 major insurers have a published price at this hospital
✓ Aetna UnitedHealthcareBlue Cross Blue ShieldCignaHumanaKaiser 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 |
|---|---|---|
| Aetnamajor | $55 | 115% |
| Health Net | $15 - $54 | 31% |
| + 4 smaller / regional plans | $52 - $58 |
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Insurance Before you use insurance
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Other Procedures at Sheridan Memorial Hosptial
Compare: Pneumonia vaccine injection at other MT hospitals
- Livingston Healthcare · Livingston $27
- Roundup Memorial Healthcare · Roundup $34
- St. Patrick Hospital · Missoula $49
- Logan Health Medical Center · Kalispell $50
- Central Montana Medical Center · Lewistown $62
- Intermountain Health St Vincent Regional Hospital · Billings $94
- St James Hospital · Butte $115
Insurance negotiated median for the same procedure, sorted lowest first.