CMS Price Transparency Data

Pneumonia vaccine injection

Facility: Novant Health Matthews Medical Center

Billing Code: G0009 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$52
about 1.1× the $48 Medicare rate · typically $36–$61
modeled estimate · not a bill or quote
What this hospital charges insurers
$46
Below the fair price — a good deal
about $6 under the fair price · 1.0× Medicare
Medicare pays $48 Fair price $52 This hospital $46

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 $52 (about 1.1× the $48 Medicare rate). Novant Health Matthews Medical Center charges insurers about $46 — below the fair price — a good deal. Located in Matthews, 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 $46 96%
Blue Cross Blue Shieldmajor $46 96%
Aetnamajor $47 98%
Cignamajor $47 98%
Humanamajor $46 96%
+ 3 smaller / regional plans $46 - $91

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Facility Profile & Credentials

  • Address: 1500 Matthews Twnshp Prkwy Box 3310, Matthews, NC 28106
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals