CMS Price Transparency Data

Pneumonia vaccine injection

Facility: North Carolina Baptist Hospital

Billing Code: G0009 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$49
about 1.0× the $48 Medicare rate · typically $44–$77
modeled estimate · not a bill or quote
What this hospital charges insurers
$45
About the fair price
about $4 under the fair price · 0.9× Medicare
Medicare pays $48 Fair price $49 This hospital $45 Cash price $35 Hospital's list price $70

How we calculate the fair BaseRate →

How this hospital compares to other NC hospitals

A typical price — 0 charge more and 4 charge less, among the 9 NC hospitals compared.

Cheapest $21 Priciest $45

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 $49 (about 1.0× the $48 Medicare rate). North Carolina Baptist Hospital charges insurers about $45, or about $35 in cash — about the fair price. Located in Winston-Salem, NC.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 $16 - $45 33%
Blue Cross Blue Shieldmajor $14 - $45 29%
Aetnamajor $16 - $61 33%
Cignamajor $21 - $45 44%
Humanamajor $37 - $45 77%
Ambetter (Centene) $18 - $19 38%
AmeriHealth $15 - $19 31%
Devoted Health $45 94%
Oscar Health $20 - $26 42%
WellCare $16 - $45 33%
+ 13 smaller / regional plans $15 - $58
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: Medical Center Boulevard, Winston-Salem, NC 27157
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals