CMS Price Transparency Data

Pneumonia vaccine injection

Facility: Penn State Health Lancaster Medical Center

Billing Code: G0009 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$45
about 0.9× the $48 Medicare rate · typically $36–$82
modeled estimate · not a bill or quote
What this hospital charges insurers
$46
About the fair price
about $1 over the fair price · 1.0× Medicare
Medicare pays $48 Fair price $45 This hospital $46 Cash price $87 Hospital's list price $300

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 $46

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 $45 (about 0.9× the $48 Medicare rate). Penn State Health Lancaster Medical Center charges insurers about $46, or about $87 in cash — about the fair price. Located in Lancaster, 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 $46 - $188 96%
Blue Cross Blue Shieldmajor $39 - $201 82%
Aetnamajor $46 - $180 96%
Cignamajor $184 385%
Humanamajor $46 96%
AmeriHealth $39 - $46 82%
Cigna HealthSpring $46 96%
Geisinger $41 - $200 86%
HealthPartners $43 - $47 90%
UPMC Health Plan $47 - $222 98%
+ 2 smaller / regional plans $43 - $57
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 2160 State Road, Lancaster, PA 17601
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals