CMS Price Transparency Data

Pneumonia vaccine injection

Facility: Mount Carmel East & West

Billing Code: G0009 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$50
about 1.0× the $48 Medicare rate · typically $43–$126
modeled estimate · not a bill or quote
What this hospital charges insurers
$45
About the fair price
about $5 under the fair price · 0.9× Medicare
Medicare pays $48 Fair price $50 This hospital $45 Cash price $55 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 $50 (about 1.0× the $48 Medicare rate). Mount Carmel East & West charges insurers about $45, or about $55 in cash — about the fair price. Located in Columbus, OH.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

6 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 $18 - $76 38%
Blue Cross Blue Shieldmajor $21 - $168 44%
Aetnamajor $10 - $84 21%
Cignamajor $12 - $76 25%
Humanamajor $11 - $84 23%
Kaiser Permanentemajor $76 159%
Ambetter (Centene) $76 159%
AmeriHealth $10 - $76 21%
Bright Health $76 159%
CareSource $16 - $76 33%
Clover Health $76 159%
Dean Health Plan $76 159%
Fidelis Care $76 159%
Friday Health $76 159%
GEHA $10 - $38 21%
Harvard Pilgrim $76 159%
Health Net $76 159%
HealthLink $16 - $76 33%
HealthPartners $12 - $76 25%
Independent Health $76 159%
MagnaCare $10 - $39 21%
Medical Mutual $16 - $154 33%
Meridian $76 159%
Moda Health $76 159%
Molina $76 159%
MVP Health Care $12 - $76 25%
Oscar Health $40 - $73 84%
Paramount $76 159%
Presbyterian $76 159%
Priority Health $12 - $76 25%
Providence Health Plan $76 159%
Security Health Plan $76 159%
SelectHealth $76 159%
Sentara $21 - $84 44%
Tufts Health Plan $76 159%
UniCare $10 - $39 21%
WellCare $76 159%
WellMed $76 159%
WellSense $76 159%
+ 929 smaller / regional plans $10 - $632
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 39 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 6001 East Broad Street, Columbus, OH 43213
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals