CMS Price Transparency Data

Pneumonia vaccine injection

Facility: Mercy Medical Center

Billing Code: G0009 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$138
about 2.9× the $48 Medicare rate · typically $45–$229
modeled estimate · not a bill or quote
What this hospital charges insurers
$135
About the fair price
about $3 under the fair price · 2.8× Medicare
Medicare pays $48 Fair price $138 This hospital $135 Cash price $89 Hospital's list price $167

How we calculate the fair BaseRate →

How this hospital compares to other OR hospitals

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

Cheapest $35 Priciest $135

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

A fair price for a Pneumonia vaccine injection is about $138 (about 2.9× the $48 Medicare rate). Mercy Medical Center charges insurers about $135, or about $89 in cash — about the fair price. Located in Roseburg, OR.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 $135 - $151 282%
Blue Cross Blue Shieldmajor $52 - $164 109%
Aetnamajor $127 - $160 265%
Cignamajor $119 - $139 249%
Health Net $52 - $169 109%
Moda Health $50 - $180 105%
PacificSource $119 - $134 249%
+ 4 smaller / regional plans $39 - $171

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Facility Profile & Credentials

  • Address: 2700 Nw Stewart Parkway, Roseburg, OR 97471
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals