CMS Price Transparency Data

Pneumonia vaccine injection

Facility: UPMC Carlisle

Billing Code: G0009 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$46
about 1.0× the $48 Medicare rate · typically $40–$54
modeled estimate · not a bill or quote
What this hospital charges insurers
$44
About the fair price
about $2 under the fair price · 0.9× Medicare
Medicare pays $48 Fair price $46 This hospital $44 Cash price $73 Hospital's list price $121

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 $44

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 $46 (about 1.0× the $48 Medicare rate). UPMC Carlisle charges insurers about $44, or about $73 in cash — about the fair price. Located in Carlisle, 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 $13 - $89 27%
Blue Cross Blue Shieldmajor $13 - $138 27%
Aetnamajor $46 - $59 96%
Cignamajor $46 - $94 96%
Humanamajor $44 92%
AmeriHealth $13 27%
Geisinger $15 - $87 31%
HealthPartners $14 29%
UPMC Health Plan $13 - $85 27%
+ 5 smaller / regional plans $17 - $97
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: 361 Alexander Spring Road, Carlisle, PA 17015
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals