CMS Price Transparency Data

Pneumonia vaccine injection

Facility: Elmhurst Hospital 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 $38–$96
modeled estimate · not a bill or quote
What this hospital charges insurers
$37
Below the fair price — a good deal
about $17 under the fair price · 0.8× Medicare
Medicare pays $48 Fair price $54 This hospital $37

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 $37

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 $54 (about 1.1× the $48 Medicare rate). Elmhurst Hospital Center charges insurers about $37 — below the fair price — a good deal. Located in Elmhurst, 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 $33 - $54 69%
Blue Cross Blue Shieldmajor $33 - $75 69%
Aetnamajor $16 - $55 33%
Fidelis Care $33 - $78 69%
Oscar Health $82 171%
+ 11 smaller / regional plans $10 - $109
Government programs also on file: Military & VA.

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Facility Profile & Credentials

  • Address: 79-01 Broadway, Elmhurst, NY 11373
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals