CMS Price Transparency Data
Pneumonia vaccine injection
Facility: Wellspan Surgery and Rehabilitation Hospital
Billing Code: G0009 (HCPCS)
The BaseRate · fair price medium confidence
A fair price for this
$102
about 2.1× the $48 Medicare rate · typically $33–$157
modeled estimate · not a bill or quote
Medicare pays $48 Fair price $102 Cash price $18 Hospital's list price $22
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
4 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 | 42% |
| Blue Cross Blue Shieldmajor | $12 - $223 | 25% |
| Aetnamajor | $18 - $46 | 38% |
| Cignamajor | $20 | 42% |
| Geisinger | $21 | 44% |
| UPMC Health Plan | $20 | 42% |
| + 1 smaller / regional plan | $21 - $45 |
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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Insurance Before you use insurance
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Other Procedures at Wellspan Surgery and Rehabilitation 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.