CMS Price Transparency Data

Pneumonia vaccine injection

Facility: Southern Ohio Medical Center

Billing Code: G0009 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$46
about 1.0× the $48 Medicare rate · typically $31–$75
modeled estimate · not a bill or quote
What this hospital charges insurers
$45
About the fair price
about $1 under the fair price · 0.9× Medicare
Medicare pays $48 Fair price $46 This hospital $45 Cash price $38 Hospital's list price $76

How we calculate the fair BaseRate →

How this hospital compares to other OH hospitals

Highest price of the 9 OH hospitals we have prices for — worth calling around.

Cheapest $22 Priciest $45

Black dot = this hospital, among the 9 OH hospitals with a price for this procedure. Full list below.

A fair price for a Pneumonia vaccine injection is about $46 (about 1.0× the $48 Medicare rate). Southern Ohio Medical Center charges insurers about $45, or about $38 in cash — about the fair price. Located in Portsmouth, OH.

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 $22 - $67 46%
Blue Cross Blue Shieldmajor $9 - $59 19%
Aetnamajor $19 - $59 40%
Cignamajor $21 - $63 44%
Humanamajor $9 - $65 19%
CareSource $45 - $58 94%
Medical Mutual $18 - $62 38%
Molina $8 - $51 17%
+ 5 smaller / regional plans $9 - $67
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1805 27Th Street, Portsmouth, OH 45662
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals