CMS Price Transparency Data

Pneumonia vaccine injection

Facility: Valley 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 $50–$71
modeled estimate · not a bill or quote
What this hospital charges insurers
$56
About the fair price
about $5 over the fair price · 1.2× Medicare
Medicare pays $48 Fair price $51 This hospital $56 Cash price $92 Hospital's list price $154

How we calculate the fair BaseRate →

How this hospital compares to other NJ hospitals

Highest price of the 9 NJ hospitals we have prices for — worth calling around.

Cheapest $50 Priciest $56

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 $51 (about 1.1× the $48 Medicare rate). Valley Hospital charges insurers about $56, or about $92 in cash — about the fair price. Located in Paramus, NJ.

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 $33 - $140 69%
Blue Cross Blue Shieldmajor $57 119%
Aetnamajor $56 - $107 117%
Cignamajor $82 - $113 171%
Humanamajor $56 117%
AmeriHealth $102 - $113 213%
Clover Health $56 117%
+ 3 smaller / regional plans $103 - $137
Government programs also on file: Medicare.

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Facility Profile & Credentials

  • Address: 4 Valley Health Plaza, Paramus, NJ 07652
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals