Pneumonia vaccine injection
Facility: St Mary's General Hospital
Billing Code: G0009 (HCPCS)
Highest price of the 9 NJ hospitals we have prices for — worth calling around.
Black dot = this hospital, among the 9 NJ hospitals with a price for this procedure. Full list below.
A fair price for a Pneumonia vaccine injection is about $58 (about 1.2× the $48 Medicare rate). St Mary's General Hospital charges insurers about $76, or about $55 in cash — above the fair price. Located in Passaic, NJ.
This price is above the fair BaseRate — you may be able to pay less
Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $58. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.
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
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 | $55 | 115% |
| Blue Cross Blue Shieldmajor | $55 | 115% |
| Aetnamajor | $55 - $117 | 115% |
| Cignamajor | $81 | 169% |
| Humanamajor | $44 | 92% |
| AmeriHealth | $55 | 115% |
| Clover Health | $55 | 115% |
| WellCare | $55 - $75 | 115% |
| + 4 smaller / regional plans | $55 - $98 |
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.
Other Procedures at St Mary's General Hospital
Compare: Pneumonia vaccine injection at other NJ hospitals
- Robert Wood Johnson University Hospital at Rahway · Rahway $50
- Trinitas Regional Medical Center · Elizabeth $50
- Community Medical Center · Toms River $50
- Shore Medical Center · Somers Point $50
- Robert Wood Johnson University Hospital - Somerset · Somerville $50
- Ocean Medical Center · Brick $50
- Monmouth Medical Center-Southern Campus · Lakewood $50
- Capital Health Regional Medical Center · Trenton $50
Insurance negotiated median for the same procedure, sorted lowest first.