CMS Price Transparency Data

Pneumonia vaccine injection

Facility: Albany Medical Center Hospital

Billing Code: G0009 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$45
about 0.9× the $48 Medicare rate · typically $27–$76
modeled estimate · not a bill or quote
What this hospital charges insurers
$44
About the fair price
about $1 under the fair price · 0.9× Medicare
Medicare pays $48 Fair price $45 This hospital $44 Cash price $31 Hospital's list price $62

How we calculate the fair BaseRate →

How this hospital compares to other NY hospitals

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

Cheapest $18 Priciest $44

Black dot = this hospital, among the 9 NY hospitals with a price for this procedure. Full list below.

A fair price for a Pneumonia vaccine injection is about $45 (about 0.9× the $48 Medicare rate). Albany Medical Center Hospital charges insurers about $44, or about $31 in cash — about the fair price. Located in Albany, NY.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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 $22 - $57 46%
Blue Cross Blue Shieldmajor $16 - $64 33%
Aetnamajor $10 - $57 21%
CDPHP $29 - $80 61%
Fidelis Care $37 - $93 77%
MagnaCare $24 - $57 50%
MVP Health Care $22 - $61 46%
+ 4 smaller / regional plans $18 - $74
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: 43 New Scotland Avenue, Mail Code 34, Albany, NY 12208
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals