CMS Price Transparency Data
Pneumonia vaccine injection
Facility: Pottstown Hospital
Billing Code: G0009 (HCPCS)
The BaseRate · fair price medium confidence
A fair price for this
$48
about 1.0× the $48 Medicare rate · typically $20–$67
modeled estimate · not a bill or quote
Medicare pays $48 Fair price $48 Cash price $37 Hospital's list price $146
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
2 of 6 major insurers have a published price at this hospital
✓ Blue Cross Blue Shield✓ Aetna UnitedHealthcareCignaHumanaKaiser 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 |
|---|---|---|
| Blue Cross Blue Shieldmajor | $88 - $116 | 184% |
| Aetnamajor | $17 | 36% |
| Geisinger | $12 | 25% |
| HealthPartners | $12 | 25% |
| UPMC Health Plan | $14 - $110 | 29% |
| + 4 smaller / regional plans | $12 - $143 |
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
Self-Pay How to get the cash price
Insurance Before you use insurance
Estimate your out-of-pocket cost
A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
Enter your details and press estimate to compare.
Other Procedures at Pottstown Hospital
Compare: Pneumonia vaccine injection at other PA hospitals
- Geisinger Jersey Shore Hospital · Jersey Shore $18
- Jefferson Lansdale Hospital · Lansdale $21
- Conemaugh Memorial Medical Center · Johnstown $21
- Jefferson Abington Hospital · Abington $23
- Thomas Jefferson University Hospital · Philadelphia $25
- Conemaugh Nason Medical Center · Roaring Spring $29
- Saint Vincent Hospital · Erie $33
- Allegheny Valley Hospital · Natrona $33
Insurance negotiated median for the same procedure, sorted lowest first.