CMS Price Transparency Data

Pneumonia vaccine injection

Facility: St Christopher's Hospital for Children

Billing Code: G0009 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$41
about 0.9× the $48 Medicare rate · typically $13–$67
modeled estimate · not a bill or quote
Medicare pays $48 Fair price $41 Cash price $71 Hospital's list price $142

How we calculate the fair BaseRate →

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 $15 31%
Blue Cross Blue Shieldmajor $25 - $77 52%
Aetnamajor $18 - $106 38%
Cignamajor $40 84%
AmeriHealth $12 25%
Geisinger $12 - $64 25%
HealthPartners $18 - $32 38%
UPMC Health Plan $18 38%
+ 4 smaller / regional plans $14 - $57

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.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 160 East Erie Ave, Philadelphia, PA 19134
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Childrens