CMS Price Transparency Data
Pneumonia vaccine injection
Facility: West Holt Memorial Hospital
Billing Code: G0009 (HCPCS)
The BaseRate · fair price low confidence
A fair price for this
$46
about 1.0× the $48 Medicare rate · typically $15–$162
modeled estimate · not a bill or quote
Medicare pays $48 Fair price $46 Cash price $38 Hospital's list price $47
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 | $13 - $28 | 27% |
| Blue Cross Blue Shieldmajor | $45 | 94% |
| Aetnamajor | $44 | 92% |
| Ambetter (Centene) | $24 | 50% |
| Medica | $43 | 90% |
| Molina | $26 | 54% |
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at West Holt Memorial Hospital
Compare: Pneumonia vaccine injection at other NE hospitals
- Brown County Hospital · Ainsworth $22
- Rock County Hospital · Bassett $26
- Fillmore County Hospital · Geneva $27
- Mary Lanning Healthcare · Hastings $29
- The Nebraska Medical Center · Omaha $40
- Webster County Community Hospital · Red Cloud $42
- Ogallala Community Hospital · Ogallala $46
- The Nebraska Methodist Hospital · Omaha $48
Insurance negotiated median for the same procedure, sorted lowest first.