CMS Price Transparency Data
Pneumonia vaccine injection
Facility: Mount Carmel New Albany Surgical Hospital
Billing Code: G0009 (HCPCS)
The BaseRate · fair price medium confidence
A fair price for this
$56
about 1.2× the $48 Medicare rate · typically $41–$143
modeled estimate · not a bill or quote
Medicare pays $48 Fair price $56 Cash price $34 Hospital's list price $53
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 | $18 - $45 | 38% |
| Blue Cross Blue Shieldmajor | $21 - $168 | 44% |
| Aetnamajor | $10 - $84 | 21% |
| Cignamajor | $12 - $47 | 25% |
| Humanamajor | $11 - $84 | 23% |
| AmeriHealth | $10 - $39 | 21% |
| CareSource | $16 - $61 | 33% |
| GEHA | $10 - $38 | 21% |
| HealthLink | $16 - $63 | 33% |
| HealthPartners | $12 - $47 | 25% |
| MagnaCare | $10 - $39 | 21% |
| Medical Mutual | $17 - $161 | 36% |
| MVP Health Care | $12 - $47 | 25% |
| Oscar Health | $74 | 155% |
| Priority Health | $12 - $47 | 25% |
| Sentara | $21 - $84 | 44% |
| UniCare | $10 - $39 | 21% |
| + 90 smaller / regional plans | $10 - $632 |
Government programs also on file: Medicare, Medicaid.
Excludes 7 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Mount Carmel New Albany Surgical Hospital
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.