CMS Price Transparency Data

Pneumonia vaccine injection

Facility: Mercy Medical Center

Billing Code: G0009 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$45
about 0.9× the $48 Medicare rate · typically $38–$60
modeled estimate · not a bill or quote
What this hospital charges insurers
$35
Below the fair price — a good deal
about $10 under the fair price · 0.7× Medicare
Medicare pays $48 Fair price $45 This hospital $35 Cash price $26 Hospital's list price $40

How we calculate the fair BaseRate →

How this hospital compares to other OH hospitals

A typical price — 3 charge more and 5 charge less, among the 9 OH hospitals compared.

Cheapest $22 Priciest $41

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 $45 (about 0.9× the $48 Medicare rate). Mercy Medical Center charges insurers about $35, or about $26 in cash — below the fair price — a good deal. Located in Canton, 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 $14 - $43 29%
Blue Cross Blue Shieldmajor $14 - $43 29%
Aetnamajor $17 - $43 36%
Cignamajor $44 92%
Humanamajor $43 90%
AmeriHealth $15 31%
CareSource $14 29%
Molina $15 31%
Oscar Health $11 23%
UniCare $45 94%
+ 10 smaller / regional plans $12 - $72
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: 1320 Mercy Drive Nw, Canton, OH 44708
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals