CMS Price Transparency Data

Pneumonia vaccine injection

Facility: Punxsutawney Area Hospital

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–$53
modeled estimate · not a bill or quote
What this hospital charges insurers
$33
Below the fair price — a good deal
about $10 under the fair price · 0.7× Medicare
Medicare pays $48 Fair price $43 This hospital $33 Cash price $85 Hospital's list price $222

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 $33

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 $43 (about 0.9× the $48 Medicare rate). Punxsutawney Area Hospital charges insurers about $33, or about $85 in cash — below the fair price — a good deal. Located in Punxsutawney, 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 $11 - $89 23%
Blue Cross Blue Shieldmajor $11 - $479 23%
Aetnamajor $33 - $107 69%
Cignamajor $132 276%
Humanamajor $24 - $48 50%
Ambetter (Centene) $14 - $51 29%
AmeriHealth $11 - $48 23%
Geisinger $13 - $49 27%
UPMC Health Plan $11 - $51 23%
+ 1 smaller / regional plan $42 - $98
Government programs also on file: Military & VA.
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: 81 Hillcrest Drive, Punxsutawney, PA 15767
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals