CMS Price Transparency Data

Pneumonia vaccine injection

Facility: Mary Hitchcock Memorial Hospital

Billing Code: G0009 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$51
about 1.1× the $48 Medicare rate · typically $32–$66
modeled estimate · not a bill or quote
What this hospital charges insurers
$52
About the fair price
about $1 over the fair price · 1.1× Medicare
Medicare pays $48 Fair price $51 This hospital $52 Cash price $26 Hospital's list price $84

How we calculate the fair BaseRate →

How this hospital compares to other NH hospitals

On the higher side — 3 of 4 other NH hospitals charge less.

Cheapest $33 Priciest $60

Black dot = this hospital, among the 5 NH hospitals with a price for this procedure. Full list below.

A fair price for a Pneumonia vaccine injection is about $51 (about 1.1× the $48 Medicare rate). Mary Hitchcock Memorial Hospital charges insurers about $52, or about $26 in cash — about the fair price. Located in Lebanon, NH.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 - $75 27%
Blue Cross Blue Shieldmajor $8 - $201 17%
Aetnamajor $8 - $73 17%
Cignamajor $15 - $58 31%
Ambetter (Centene) $71 - $111 148%
AmeriHealth $10 21%
Harvard Pilgrim $24 - $182 50%
MVP Health Care $53 - $56 111%
Tufts Health Plan $47 - $105 98%
WellCare $54 113%
WellSense $8 - $54 17%
+ 7 smaller / regional plans $10 - $80
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1 Medical Center Drive, Lebanon, NH 03756
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals