CMS Price Transparency Data

Pneumonia vaccine injection

Facility: Ellis Hospital

Billing Code: G0009 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$48
about 1.0× the $48 Medicare rate · typically $30–$83
modeled estimate · not a bill or quote
What this hospital charges insurers
$38
Below the fair price — a good deal
about $10 under the fair price · 0.8× Medicare
Medicare pays $48 Fair price $48 This hospital $38 Cash price $50 Hospital's list price $99

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 $38

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 $48 (about 1.0× the $48 Medicare rate). Ellis Hospital charges insurers about $38, or about $50 in cash — below the fair price — a good deal. Located in Schenectady, 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 $79 165%
Blue Cross Blue Shieldmajor $24 - $61 50%
Aetnamajor $82 - $84 171%
CDPHP $26 - $64 54%
MVP Health Care $50 105%
+ 6 smaller / regional plans $12 - $118
Government programs also on file: Medicare, Military & VA.

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Facility Profile & Credentials

  • Address: 1101 Nott Street, Schenectady, NY 12308
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals