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

How we calculate the fair BaseRate →

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.

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Facility Profile & Credentials

  • Address: 10 Alice Peck Day Drive, Lebanon, NH 03766
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals