CMS Price Transparency Data

Pneumonia vaccine injection

Facility: Jefferson Abington Hospital

Billing Code: G0009 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$47
about 1.0× the $48 Medicare rate · typically $29–$59
modeled estimate · not a bill or quote
What this hospital charges insurers
$23
Below the fair price — a good deal
about $24 under the fair price · 0.5× Medicare
Medicare pays $48 Fair price $47 This hospital $23 Cash price $40 Hospital's list price $60

How we calculate the fair BaseRate →

How this hospital compares to other PA hospitals

A typical price — 5 charge more and 3 charge less, among the 9 PA hospitals compared.

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 $47 (about 1.0× the $48 Medicare rate). Jefferson Abington Hospital charges insurers about $23, or about $40 in cash — below the fair price — a good deal. Located in Abington, 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 $23 48%
Blue Cross Blue Shieldmajor $10 - $49 21%
Aetnamajor $15 - $30 31%
Cignamajor $24 50%
Humanamajor $23 48%
Ambetter (Centene) $33 69%
Geisinger $8 17%
HealthPartners $10 - $41 21%
+ 14 smaller / regional plans $12 - $44
Government programs also on file: Medicare, Medicaid.
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: 1200 Old York Road, Abington, PA 19001
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals