CMS Price Transparency Data

Pneumonia vaccine injection

Facility: Marymount Hospital

Billing Code: G0009 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$43
about 0.9× the $48 Medicare rate · typically $39–$52
modeled estimate · not a bill or quote
What this hospital charges insurers
$43
About the fair price
0.9× Medicare
Medicare pays $48 Fair price $43 This hospital $43

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 $43

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 $43 (about 0.9× the $48 Medicare rate). Marymount Hospital charges insurers about $43 — about the fair price. Located in Garfield Heights, 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 $13 - $43 27%
Blue Cross Blue Shieldmajor $14 - $43 29%
Aetnamajor $43 90%
Cignamajor $44 92%
Humanamajor $43 90%
AmeriHealth $15 31%
CareSource $15 31%
Devoted Health $43 90%
Molina $14 29%
Paramount $14 29%
UniCare $45 94%
UPMC Health Plan $43 90%
+ 7 smaller / regional plans $14 - $47

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Facility Profile & Credentials

  • Address: 12300 McCracken Road, Garfield Heights, OH 44125
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals