CMS Price Transparency Data

Pneumonia vaccine injection

Facility: Newton Medical Center

Billing Code: G0009 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$53
about 1.1× the $48 Medicare rate · typically $44–$62
modeled estimate · not a bill or quote
What this hospital charges insurers
$54
About the fair price
about $1 over the fair price · 1.1× Medicare
Medicare pays $48 Fair price $53 This hospital $54 Hospital's list price $34,586

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 $54

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 $53 (about 1.1× the $48 Medicare rate). Newton Medical Center charges insurers about $54 — about the fair price. Located in Newton, NJ.

What each insurance company pays

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

6 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 $32 67%
Blue Cross Blue Shieldmajor $5 - $11,952 10%
Aetnamajor $6 - $75 13%
Cignamajor $41 - $54 86%
Humanamajor $40 84%
Kaiser Permanentemajor $40 84%
Ambetter (Centene) $54 113%
AmeriHealth $45 - $7,820 94%
GEHA $32 67%
Harvard Pilgrim $32 67%
Health Net $36 - $61 75%
MagnaCare $36 - $58 75%
MVP Health Care $48 100%
Oscar Health $40 84%
Tufts Health Plan $48 100%
UPMC Health Plan $54 113%
WellCare $54 113%
+ 79 smaller / regional plans $5 - $12,000
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 24 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 175 High St, Newton, NJ 07860
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals