CMS Price Transparency Data

Pneumonia vaccine injection

Facility: Jfk University Medical Center

Billing Code: G0009 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$54
about 1.1× the $48 Medicare rate · typically $51–$61
modeled estimate · not a bill or quote
What this hospital charges insurers
$51
About the fair price
about $3 under the fair price · 1.1× Medicare
Medicare pays $48 Fair price $54 This hospital $51 Cash price $49 Hospital's list price $165

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 $51

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 $54 (about 1.1× the $48 Medicare rate). Jfk University Medical Center charges insurers about $51, or about $49 in cash — about the fair price. Located in Edison, NJ.

What each insurance company pays

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

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 $28 - $137 59%
Blue Cross Blue Shieldmajor $51 107%
Aetnamajor $27 - $148 56%
Cignamajor $159 332%
Amerigroup $46 - $51 96%
AmeriHealth $156 326%
Clover Health $30 63%
WellCare $46 - $51 96%
+ 10 smaller / regional plans $27 - $153
Government programs also on file: Military & VA.
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 65 James Street, Edison, NJ 08818
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals