CMS Price Transparency Data
Pneumonia vaccine injection
Facility: MUSC Medical Center
Billing Code: G0009 (HCPCS)
The BaseRate · fair price high confidence
A fair price for this
$51
about 1.1× the $48 Medicare rate · typically $45–$68
modeled estimate · not a bill or quote
Medicare pays $48 Fair price $51 Cash price $15 Hospital's list price $30
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
2 of 6 major insurers have a published price at this hospital
✓ Blue Cross Blue Shield✓ Aetna UnitedHealthcareCignaHumanaKaiser 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 |
|---|---|---|
| Blue Cross Blue Shieldmajor | $40 - $109 | 84% |
| Aetnamajor | $44 | 92% |
| Clover Health | $44 | 92% |
| Molina | $48 | 100% |
| + 1 smaller / regional plan | $47 |
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.
Other Procedures at MUSC Medical Center
Compare: Pneumonia vaccine injection at other SC hospitals
- Conway Medical Center · Conway $43
- McLeod Medical Center - Dillon · Dillon $45
- McLeod Regional Medical Center-Pee Dee · Florence $45
- Prisma Health Greenville Memorial Hospital · Greenville $45
- Novant Health Hilton Head Medical Center · Hilton Head Island $45
- East Cooper Medical Center · Mount Pleasant $45
- Coastal Carolina Hospital · Hardeeville $45
- McLeod Loris Hospital · Loris $45
Insurance negotiated median for the same procedure, sorted lowest first.