CMS Price Transparency Data
Pneumonia vaccine injection
Facility: Altru Hospital
Billing Code: G0009 (HCPCS)
The BaseRate · fair price high confidence
A fair price for this
$54
about 1.1× the $48 Medicare rate · typically $44–$54
modeled estimate · not a bill or quote
Medicare pays $48 Fair price $54 Cash price $31 Hospital's list price $50
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
3 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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 | $84 - $94 | 176% |
| Blue Cross Blue Shieldmajor | $17 - $84 | 36% |
| Aetnamajor | $48 - $86 | 100% |
| Medica | $11 - $33 | 23% |
| Sanford Health Plan | $56 - $75 | 117% |
| + 1 smaller / regional plan | $96 |
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Other Procedures at Altru Hospital
Compare: Pneumonia vaccine injection at other ND hospitals
- Essentia Health · Fargo $46
- Trinity Hospitals · Minot $48
- Sanford Medical Center Fargo · Fargo $48
- Sanford Medical Center Bismarck · Bismarck $48
Insurance negotiated median for the same procedure, sorted lowest first.