CMS Price Transparency Data

Pneumonia vaccine injection

Facility: St Lukes Hospital

Billing Code: G0009 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$47
about 1.0× the $48 Medicare rate · typically $39–$53
modeled estimate · not a bill or quote
What this hospital charges insurers
$47
About the fair price
1.0× Medicare
Medicare pays $48 Fair price $47 This hospital $47 Cash price $83 Hospital's list price $100

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 $47

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 $47 (about 1.0× the $48 Medicare rate). St Lukes Hospital charges insurers about $47, or about $83 in cash — about the fair price. Located in Bethlehem, PA.

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 $29 - $51 61%
Blue Cross Blue Shieldmajor $12 - $153 25%
Aetnamajor $34 - $48 71%
Cignamajor $27 56%
Humanamajor $49 102%
AmeriHealth $12 25%
Geisinger $12 - $48 25%
Oscar Health $26 54%
UPMC Health Plan $12 - $50 25%
+ 2 smaller / regional plans $10 - $14

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Facility Profile & Credentials

  • Address: 801 Ostrum Street, Bethlehem, PA 18015
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals