CMS Price Transparency Data

Pneumonia vaccine injection

Facility: Sampson Regional Medical Center

Billing Code: G0009 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$46
about 1.0× the $48 Medicare rate · typically $36–$58
modeled estimate · not a bill or quote
What this hospital charges insurers
$46
About the fair price
1.0× Medicare
Medicare pays $48 Fair price $46 This hospital $46 Cash price $125 Hospital's list price $179

How we calculate the fair BaseRate →

How this hospital compares to other NC hospitals

Highest price of the 9 NC hospitals we have prices for — worth calling around.

Cheapest $21 Priciest $46

Black dot = this hospital, among the 9 NC hospitals with a price for this procedure. Full list below.

A fair price for a Pneumonia vaccine injection is about $46 (about 1.0× the $48 Medicare rate). Sampson Regional Medical Center charges insurers about $46, or about $125 in cash — about the fair price. Located in Clinton, NC.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 $12 - $215 25%
Blue Cross Blue Shieldmajor $38 - $184 79%
Aetnamajor $47 - $266 98%
Cignamajor $56 - $266 117%
WellCare $12 - $59 25%
+ 4 smaller / regional plans $12 - $296
Government programs also on file: Medicare.
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 607 Beaman St, Clinton, NC 28328
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals