CMS Price Transparency Data
Pneumonia vaccine injection
Facility: UPMC Horizon
Billing Code: G0009 (HCPCS)
The BaseRate · fair price high confidence
A fair price for this
$43
about 0.9× the $48 Medicare rate · typically $30–$51
modeled estimate · not a bill or quote
Medicare pays $48 Fair price $43 Cash price $12 Hospital's list price $20
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 | $7 - $47 | 15% |
| Blue Cross Blue Shieldmajor | $7 - $83 | 15% |
| Aetnamajor | $7 - $46 | 15% |
| Cignamajor | $8 - $48 | 17% |
| Humanamajor | $17 | 36% |
| AmeriHealth | $16 - $48 | 33% |
| Geisinger | $14 | 29% |
| HealthPartners | $15 | 31% |
| UPMC Health Plan | $11 - $57 | 23% |
| + 5 smaller / regional plans | $13 - $48 |
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 UPMC Horizon
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.