CMS Price Transparency Data

Pneumonia vaccine injection

Facility: Essentia Health

Billing Code: G0009 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$46
about 1.0× the $48 Medicare rate · typically $46–$46
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

How we calculate the fair BaseRate →

How this hospital compares to other ND hospitals

Lowest price of the 4 ND hospitals we have prices for — a strong deal.

Cheapest $46 Priciest $48

Black dot = this hospital, among the 4 ND 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). Essentia Health charges insurers about $46 — about the fair price. Located in Fargo, ND.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield AetnaCignaHumanaKaiser 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 - $109 96%
HealthPartners $46 96%
Medica $46 96%
Sanford Health Plan $82 171%
Security Health Plan $46 96%
UCare $46 96%
+ 10 smaller / regional plans $46
Government programs also on file: Medicare.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 3000 32Nd Ave South, Fargo, ND 58104
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals