CMS Price Transparency Data

Pneumonia vaccine injection

Facility: Queens Hospital Center

Billing Code: G0009 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$57
about 1.2× the $48 Medicare rate · typically $37–$99
modeled estimate · not a bill or quote
What this hospital charges insurers
$49
Below the fair price — a good deal
about $8 under the fair price · 1.0× Medicare
Medicare pays $48 Fair price $57 This hospital $49

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 $49

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 $57 (about 1.2× the $48 Medicare rate). Queens Hospital Center charges insurers about $49 — below the fair price — a good deal. Located in Jamaica, 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 $36 - $54 75%
Blue Cross Blue Shieldmajor $48 - $108 100%
Aetnamajor $16 - $55 33%
Fidelis Care $48 - $108 100%
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: 82-68 164Th Street, Jamaica, NY 11432
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals