CMS Price Transparency Data

Pneumonia vaccine injection

Facility: Schuyler Hospital

Billing Code: G0009 (HCPCS)

The BaseRate · fair price low confidence
A fair price for this
$42
about 0.9× the $48 Medicare rate · typically $12–$108
modeled estimate · not a bill or quote
What this hospital charges insurers
$37
Below the fair price — a good deal
about $5 under the fair price · 0.8× Medicare
Medicare pays $48 Fair price $42 This hospital $37 Cash price $17 Hospital's list price $87

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 $37

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 $42 (about 0.9× the $48 Medicare rate). Schuyler Hospital charges insurers about $37, or about $17 in cash — below the fair price — a good deal. Located in Montour Falls, NY.

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✓ Cigna HumanaKaiser 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 $61 - $94 128%
Blue Cross Blue Shieldmajor $37 - $54 77%
Aetnamajor $61 128%
Cignamajor $44 - $52 92%
Fidelis Care $16 - $44 33%
Independent Health $84 176%
WellCare $44 92%

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 220 Steuben Street, Montour Falls, NY 14865
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals