CMS Price Transparency Data

Pneumonia vaccine injection

Facility: Sentara Albemarle Medical Center

Billing Code: G0009 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$45
about 0.9× the $48 Medicare rate · typically $35–$45
modeled estimate · not a bill or quote
What this hospital charges insurers
$45
About the fair price
0.9× Medicare
Medicare pays $48 Fair price $45 This hospital $45 Cash price $53 Hospital's list price $107

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 $45 (about 0.9× the $48 Medicare rate). Sentara Albemarle Medical Center charges insurers about $45, or about $53 in cash — about the fair price. Located in Elizabeth City, NC.

What each insurance company pays

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

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

✓ Blue Cross Blue Shield✓ Humana UnitedHealthcareAetnaCignaKaiser 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
Blue Cross Blue Shieldmajor $45 94%
Humanamajor $46 96%

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 3050 Halstead Blvd Ext, Elizabeth City, NC 27909
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals