CMS Price Transparency Data

Pneumonia vaccine injection

Facility: Little Falls Hospital

Billing Code: G0009 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$38
about 0.8× the $48 Medicare rate · typically $13–$100
modeled estimate · not a bill or quote
What this hospital charges insurers
$20
Below the fair price — a good deal
about $18 under the fair price · 0.4× Medicare
Medicare pays $48 Fair price $38 This hospital $20 Cash price $10 Hospital's list price $20

How we calculate the fair BaseRate →

How this hospital compares to other NY hospitals

One of the lower prices — 7 of 8 other NY hospitals charge more for the same procedure.

Cheapest $18 Priciest $29

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 $38 (about 0.8× the $48 Medicare rate). Little Falls Hospital charges insurers about $20, or about $10 in cash — below the fair price — a good deal. Located in Little Falls, 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 $6 13%
Blue Cross Blue Shieldmajor $6 - $22 13%
Aetnamajor $6 - $20 13%
Cignamajor $11 - $17 23%
Humanamajor $6 13%
CDPHP $6 - $20 13%
Fidelis Care $6 - $20 13%
MVP Health Care $6 - $20 13%
+ 1 smaller / regional plan $6 - $17
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 140 Burwell Street, Little Falls, NY 13365
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals