CMS Price Transparency Data

Pneumonia vaccine injection

Facility: Excela Health - Frick Hospital

Billing Code: G0009 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$46
about 1.0× the $48 Medicare rate · typically $32–$53
modeled estimate · not a bill or quote
What this hospital charges insurers
$50
About the fair price
about $4 over the fair price · 1.0× Medicare
Medicare pays $48 Fair price $46 This hospital $50 Cash price $41 Hospital's list price $68

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 $50

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 $46 (about 1.0× the $48 Medicare rate). Excela Health - Frick Hospital charges insurers about $50, or about $41 in cash — about the fair price. Located in Mount Pleasant, 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 $50 - $122 105%
Blue Cross Blue Shieldmajor $7 - $106 15%
Aetnamajor $49 - $110 102%
Cignamajor $50 - $106 105%
Humanamajor $50 105%
Ambetter (Centene) $60 125%
AmeriHealth $13 - $50 27%
Devoted Health $50 105%
Geisinger $12 - $50 25%
HealthPartners $12 - $49 25%
UPMC Health Plan $8 - $55 17%
+ 10 smaller / regional plans $13 - $112

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 508 South Church Street, Mount Pleasant, PA 15666
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals