CMS Price Transparency Data

Pneumonia vaccine injection

Facility: Bertrand Chaffee Hospital

Billing Code: G0009 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$31
about 0.6× the $48 Medicare rate · typically $21–$53
modeled estimate · not a bill or quote
Medicare pays $48 Fair price $31 Cash price $14 Hospital's list price $16

How we calculate the fair BaseRate →

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

✓ Blue Cross Blue Shield✓ Aetna✓ Cigna UnitedHealthcareHumanaKaiser 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
Blue Cross Blue Shieldmajor $19 - $20 40%
Aetnamajor $16 33%
Cignamajor $16 33%
MVP Health Care $16 33%
+ 18 smaller / regional plans $16 - $52

Self-Pay How to get the cash price

Insurance Before you use insurance

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A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 224 East Main Street, Springville, NY 14141
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals