CMS Price Transparency Data

Pneumonia vaccine injection

Facility: St Mary's Regional Medical Center

Billing Code: G0009 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$60
about 1.3× the $48 Medicare rate · typically $39–$88
modeled estimate · not a bill or quote
What this hospital charges insurers
$69
About the fair price
about $9 over the fair price · 1.4× Medicare
Medicare pays $48 Fair price $60 This hospital $69 Cash price $141 Hospital's list price $354

How we calculate the fair BaseRate →

How this hospital compares to other OK hospitals

Highest price of the 9 OK hospitals we have prices for — worth calling around.

Cheapest $21 Priciest $69

Black dot = this hospital, among the 9 OK hospitals with a price for this procedure. Full list below.

A fair price for a Pneumonia vaccine injection is about $60 (about 1.3× the $48 Medicare rate). St Mary's Regional Medical Center charges insurers about $69, or about $141 in cash — about the fair price. Located in Enid, OK.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Aetna✓ Cigna Blue Cross Blue ShieldHumanaKaiser 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 $266 556%
Aetnamajor $22 - $268 46%
Cignamajor $20 - $247 42%
GEHA $40 - $490 84%
+ 1 smaller / regional plan $69
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: 305 South 5Th Street, Enid, OK 73701
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals