CMS Price Transparency Data
Pneumonia vaccine injection
Facility: Summa Health System
Billing Code: G0009 (HCPCS)
The BaseRate · fair price high confidence
A fair price for this
$46
about 1.0× the $48 Medicare rate · typically $41–$75
modeled estimate · not a bill or quote
Medicare pays $48 Fair price $46 Cash price $52 Hospital's list price $52
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 | $75 - $167 | 157% |
| Blue Cross Blue Shieldmajor | $70 - $156 | 146% |
| Aetnamajor | $44 - $66 | 92% |
| Cignamajor | $46 - $153 | 96% |
| CareSource | $47 | 98% |
| Medical Mutual | $41 - $197 | 86% |
| + 2 smaller / regional plans | $55 - $104 |
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Other Procedures at Summa Health System
Compare: Pneumonia vaccine injection at other OH hospitals
- Lodi Community Hospital · Lodi $22
- Akron Children's Hospital · Akron $24
- Cleveland Clinic Children's Hospital for Rehab · Cleveland $26
- Nationwide Children's Hospital · Columbus $26
- Christ Hospital · Cincinnati $31
- Mercy Medical Center · Canton $35
- Memorial Hospital · Fremont $36
- Berger Hospital · Circleville $36
Insurance negotiated median for the same procedure, sorted lowest first.