CMS Price Transparency Data

Pneumonia vaccine injection

Facility: Lancaster General Hospital

Billing Code: G0009 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$54
about 1.1× the $48 Medicare rate · typically $38–$93
modeled estimate · not a bill or quote
What this hospital charges insurers
$49
About the fair price
about $5 under the fair price · 1.0× Medicare
Medicare pays $48 Fair price $54 This hospital $49 Cash price $70 Hospital's list price $70

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 $49

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 $54 (about 1.1× the $48 Medicare rate). Lancaster General Hospital charges insurers about $49, or about $70 in cash — about the fair price. Located in Lancaster, 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 $11 - $76 23%
Blue Cross Blue Shieldmajor $34 - $77 71%
Aetnamajor $47 - $51 98%
Cignamajor $49 - $64 102%
AmeriHealth $49 102%
Devoted Health $50 105%
Geisinger $60 - $65 125%
HealthPartners $49 102%
Oscar Health $93 194%
UPMC Health Plan $17 - $65 36%
+ 24 smaller / regional plans $12 - $13,500
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 555 North Duke Street, Lancaster, PA 17602
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals