Pneumonia vaccine injection
Facility: St Clair Hospital
Billing Code: G0009 (HCPCS)
Highest price of the 9 PA hospitals we have prices for — worth calling around.
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). St Clair Hospital charges insurers about $74, or about $27 in cash — above the fair price. Located in Pittsburgh, PA.
This price is above the fair BaseRate — you may be able to pay less
Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $43. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.
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
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 | $10 - $150 | 21% |
| Blue Cross Blue Shieldmajor | $12 - $102 | 25% |
| Aetnamajor | $12 - $122 | 25% |
| Cignamajor | $47 - $105 | 98% |
| Humanamajor | $46 | 96% |
| AmeriHealth | $12 - $46 | 25% |
| Geisinger | $12 - $47 | 25% |
| HealthPartners | $12 - $48 | 25% |
| UPMC Health Plan | $11 - $46 | 23% |
| + 3 smaller / regional plans | $12 - $109 |
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.
Other Procedures at St Clair 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.