CMS Price Transparency Data

Pneumonia vaccine injection

Facility: Rainbow Babies and Childrens Hospital

Billing Code: G0009 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$42
about 0.9× the $48 Medicare rate · typically $18–$70
modeled estimate · not a bill or quote
What this hospital charges insurers
$43
About the fair price
about $1 over the fair price · 0.9× Medicare
Medicare pays $48 Fair price $42 This hospital $43 Cash price $37 Hospital's list price $49

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 $42 (about 0.9× the $48 Medicare rate). Rainbow Babies and Childrens Hospital charges insurers about $43, or about $37 in cash — about the fair price. Located in Cleveland, 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 $30 - $43 63%
Blue Cross Blue Shieldmajor $26 - $43 54%
Aetnamajor $27 - $43 56%
Cignamajor $27 - $43 56%
Humanamajor $43 90%
Ambetter (Centene) $27 56%
CareSource $26 54%
Devoted Health $43 90%
Health Net $42 88%
Medical Mutual $16 - $43 33%
Molina $43 90%
Paramount $44 92%
WellCare $43 90%
+ 21 smaller / regional plans $20 - $45
Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 11100 Euclid Avenue, Cleveland, OH 44106
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Childrens