CMS Price Transparency Data

Pneumonia vaccine injection

Facility: St James Hospital

Billing Code: G0009 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$42
about 0.9× the $48 Medicare rate · typically $22–$56
modeled estimate · not a bill or quote
What this hospital charges insurers
$31
Below the fair price — a good deal
about $11 under the fair price · 0.6× Medicare
Medicare pays $48 Fair price $42 This hospital $31 Cash price $88 Hospital's list price $107

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 $31

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 $42 (about 0.9× the $48 Medicare rate). St James Hospital charges insurers about $31, or about $88 in cash — below the fair price — a good deal. Located in Hornell, NY.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 $15 - $63 31%
Blue Cross Blue Shieldmajor $13 - $140 27%
Aetnamajor $8 - $63 17%
Cignamajor $141 295%
Humanamajor $63 132%
MVP Health Care $133 - $136 278%
+ 1 smaller / regional plan $132
Government programs also on file: Medicare, Medicaid.

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Facility Profile & Credentials

  • Address: 411 Canisteo Street, Hornell, NY 14843
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals