Pneumonia vaccine injection
Facility: St Mary Medical Center
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 $35 (about 0.7× the $48 Medicare rate). St Mary Medical Center charges insurers about $34, or about $44 in cash — about the fair price. Located in Langhorne, PA.
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
6 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 | $11 - $34 | 23% |
| Blue Cross Blue Shieldmajor | $10 - $136 | 21% |
| Aetnamajor | $14 - $70 | 29% |
| Cignamajor | $10 - $51 | 21% |
| Humanamajor | $10 - $70 | 21% |
| Kaiser Permanentemajor | $18 | 38% |
| Ambetter (Centene) | $10 - $90 | 21% |
| AmeriHealth | $18 | 38% |
| Clover Health | $34 | 71% |
| GEHA | $12 - $34 | 25% |
| Health Net | $10 - $40 | 21% |
| HealthPartners | $10 - $35 | 21% |
| Meridian | $10 - $34 | 21% |
| Molina | $10 | 21% |
| Oscar Health | $52 - $91 | 109% |
| Paramount | $10 | 21% |
| Presbyterian | $10 - $34 | 21% |
| Tufts Health Plan | $10 | 21% |
| UPMC Health Plan | $16 - $46 | 33% |
| WellMed | $34 | 71% |
| WellSense | $10 | 21% |
| + 338 smaller / regional plans | $9 - $114 |
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 Mary Medical Center
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.