CMS Price Transparency Data

Pneumonia vaccine injection

Facility: Penn Presbyterian Medical Center

Billing Code: G0009 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$56
about 1.2× the $48 Medicare rate · typically $32–$63
modeled estimate · not a bill or quote
What this hospital charges insurers
$56
About the fair price
1.2× Medicare
Medicare pays $48 Fair price $56 This hospital $56 Cash price $147 Hospital's list price $147

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 $56

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 $56 (about 1.2× the $48 Medicare rate). Penn Presbyterian Medical Center charges insurers about $56, or about $147 in cash — about the fair price. Located in Philadelphia, 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 $20 - $245 42%
Blue Cross Blue Shieldmajor $15 - $237 31%
Aetnamajor $16 - $237 33%
Cignamajor $18 - $91 38%
Humanamajor $45 - $190 94%
Clover Health $53 111%
Geisinger $50 - $155 105%
Health Net $34 - $142 71%
HealthPartners $15 - $237 31%
Oscar Health $83 173%
UPMC Health Plan $17 - $237 36%
+ 36 smaller / regional plans $9 - $237
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 51 North 39Th Street, Philadelphia, PA 19104
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals