CMS Price Transparency Data
Pneumonia vaccine injection
Facility: Oswego Hospital
Billing Code: G0009 (HCPCS)
The BaseRate · fair price high confidence
A fair price for this
$45
about 0.9× the $48 Medicare rate · typically $40–$72
modeled estimate · not a bill or quote
Medicare pays $48 Fair price $45 Cash price $30 Hospital's list price $40
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
4 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser 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 | $58 | 121% |
| Blue Cross Blue Shieldmajor | $58 - $176 | 121% |
| Aetnamajor | $58 | 121% |
| Humanamajor | $58 | 121% |
| WellCare | $62 | 130% |
| + 3 smaller / regional plans | $58 - $64 |
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Other Procedures at Oswego Hospital
Compare: Pneumonia vaccine injection at other NY hospitals
- Sisters of Charity Hospital · Buffalo $18
- Little Falls Hospital · Little Falls $20
- Niagara Falls Memorial Medical Center · Niagara Falls $22
- Kenmore Mercy Hospital · Kenmore $22
- Mercy Hospital of Buffalo · Buffalo $22
- F F Thompson Hospital · Canandaigua $29
- Columbia Memorial Hospital · Hudson $29
- Elizabethtown Community Hospital · Elizabethtown $29
Insurance negotiated median for the same procedure, sorted lowest first.