CMS Price Transparency Data

Pneumonia vaccine injection

Facility: Southern Ocean Medical Center

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
$50
About the fair price
about $1 under the fair price · 1.0× Medicare
Medicare pays $48 Fair price $51 This hospital $50 Cash price $50 Hospital's list price $99

How we calculate the fair BaseRate →

How this hospital compares to other NJ hospitals

One of the lower prices — 0 of 8 other NJ hospitals charge more for the same procedure.

Cheapest $50 Priciest $50

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). Southern Ocean Medical Center charges insurers about $50, or about $50 in cash — about the fair price. Located in Manahawkin, 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 $53 - $77 111%
Blue Cross Blue Shieldmajor $50 105%
Aetnamajor $18 - $89 38%
Cignamajor $79 - $95 165%
AmeriHealth $86 - $97 180%
Clover Health $18 38%
WellCare $50 105%
+ 7 smaller / regional plans $20 - $91
Government programs also on file: Military & VA.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1140 Rt 72 W, Manahawkin, NJ 08050
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals