CMS Price Transparency Data

Pneumonia vaccine injection

Facility: Heritage Valley Beaver

Billing Code: G0009 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$45
about 0.9× the $48 Medicare rate · typically $30–$53
modeled estimate · not a bill or quote
What this hospital charges insurers
$46
About the fair price
about $1 over the fair price · 1.0× Medicare
Medicare pays $48 Fair price $45 This hospital $46 Cash price $35 Hospital's list price $131

How we calculate the fair BaseRate →

How this hospital compares to other PA hospitals

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

Cheapest $18 Priciest $46

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

A fair price for a Pneumonia vaccine injection is about $45 (about 0.9× the $48 Medicare rate). Heritage Valley Beaver charges insurers about $46, or about $35 in cash — about the fair price. Located in Beaver, PA.

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 $14 - $58 29%
Blue Cross Blue Shieldmajor $12 - $88 25%
Aetnamajor $10 - $72 21%
Cignamajor $41 - $46 86%
UPMC Health Plan $13 - $51 27%
+ 2 smaller / regional plans $12 - $46

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 1000 Dutch Ridge Road, Beaver, PA 15009
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals