CMS Price Transparency Data

Pneumonia vaccine injection

Facility: Lodi Community Hospital

Billing Code: G0009 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$48
about 1.0× the $48 Medicare rate · typically $17–$103
modeled estimate · not a bill or quote
What this hospital charges insurers
$22
Below the fair price — a good deal
about $26 under the fair price · 0.5× Medicare
Medicare pays $48 Fair price $48 This hospital $22

How we calculate the fair BaseRate →

How this hospital compares to other OH hospitals

Lowest price of the 9 OH hospitals we have prices for — a strong deal.

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 $48 (about 1.0× the $48 Medicare rate). Lodi Community Hospital charges insurers about $22 — below the fair price — a good deal. Located in Lodi, OH.

What each insurance company pays

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

2 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield AetnaCignaHumanaKaiser 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 $20 - $46 42%
Blue Cross Blue Shieldmajor $22 - $46 46%
AmeriHealth $23 48%
CareSource $21 44%
Molina $22 46%
+ 1 smaller / regional plan $21

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Facility Profile & Credentials

  • Address: 225 Elyria Street, Lodi, OH 44254
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals