CMS Price Transparency Data

Pneumonia vaccine injection

Facility: Metropolitan Hospital Center

Billing Code: G0009 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$53
about 1.1× the $48 Medicare rate · typically $37–$98
modeled estimate · not a bill or quote
What this hospital charges insurers
$35
Below the fair price — a good deal
about $18 under the fair price · 0.7× Medicare
Medicare pays $48 Fair price $53 This hospital $35

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 $35

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 $53 (about 1.1× the $48 Medicare rate). Metropolitan Hospital Center charges insurers about $35 — below the fair price — a good deal. Located in New York, 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 $32 - $54 67%
Blue Cross Blue Shieldmajor $32 - $71 67%
Aetnamajor $16 - $55 33%
Fidelis Care $32 - $78 67%
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: 1901 First Avenue, New York, NY 10029
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals