CMS Price Transparency Data
Pneumonia vaccine injection
Facility: Alice Peck Day Memorial Hospital
Billing Code: G0009 (HCPCS)
The BaseRate · fair price low confidence
A fair price for this
$67
about 1.4× the $48 Medicare rate · typically $7–$183
modeled estimate · not a bill or quote
Medicare pays $48 Fair price $67 Cash price $35 Hospital's list price $65
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 | $34 - $47 | 71% |
| Blue Cross Blue Shieldmajor | $32 - $58 | 67% |
| Aetnamajor | $58 - $62 | 121% |
| Cignamajor | $50 - $53 | 105% |
| Humanamajor | $68 | 142% |
| Harvard Pilgrim | $40 - $56 | 84% |
| MVP Health Care | $59 | 123% |
| Tufts Health Plan | $48 | 100% |
| + 3 smaller / regional plans | $50 |
Government programs also on file: Medicaid.
Self-Pay How to get the cash price
Insurance Before you use insurance
Estimate your out-of-pocket cost
A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
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Other Procedures at Alice Peck Day Memorial Hospital
Compare: Pneumonia vaccine injection at other NH hospitals
- Weeks Medical Center · Lancaster $33
- Cheshire Medical Center · Keene $38
- Northeast Rehabilitation Hospital Network · Salem $39
- Mary Hitchcock Memorial Hospital · Lebanon $52
- Elliot Hospital · Manchester $60
Insurance negotiated median for the same procedure, sorted lowest first.