CMS Price Transparency Data

Pneumonia vaccine injection

Facility: UPMC Memorial

Billing Code: G0009 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$59
about 1.2× the $48 Medicare rate · typically $35–$150
modeled estimate · not a bill or quote
What this hospital charges insurers
$43
Below the fair price — a good deal
about $16 under the fair price · 0.9× Medicare
Medicare pays $48 Fair price $59 This hospital $43 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 $43

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 $59 (about 1.2× the $48 Medicare rate). UPMC Memorial charges insurers about $43, or about $73 in cash — below the fair price — a good deal. Located in York, 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 $13 - $89 27%
Blue Cross Blue Shieldmajor $6 - $156 13%
Aetnamajor $46 - $69 96%
Cignamajor $46 - $94 96%
AmeriHealth $13 27%
Geisinger $15 - $87 31%
HealthPartners $14 29%
UPMC Health Plan $13 - $85 27%
+ 4 smaller / regional plans $20 - $90
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: 1701 Innovation Drive, York, PA 17408
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals