CMS Price Transparency Data

Pneumonia vaccine injection

Facility: Prisma Health Richland Hospital

Billing Code: G0009 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$46
about 1.0× the $48 Medicare rate · typically $46–$63
modeled estimate · not a bill or quote
What this hospital charges insurers
$47
About the fair price
about $1 over the fair price · 1.0× Medicare
Medicare pays $48 Fair price $46 This hospital $47 Cash price $83 Hospital's list price $127

How we calculate the fair BaseRate →

How this hospital compares to other SC hospitals

Highest price of the 9 SC hospitals we have prices for — worth calling around.

Cheapest $43 Priciest $47

Black dot = this hospital, among the 9 SC hospitals with a price for this procedure. Full list below.

A fair price for a Pneumonia vaccine injection is about $46 (about 1.0× the $48 Medicare rate). Prisma Health Richland Hospital charges insurers about $47, or about $83 in cash — about the fair price. Located in Columbia, SC.

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 $18 - $299 38%
Blue Cross Blue Shieldmajor $18 - $160 38%
Aetnamajor $18 - $100 38%
Cignamajor $18 - $88 38%
Humanamajor $18 - $95 38%
Ambetter (Centene) $33 - $83 69%
Molina $18 - $47 38%
WellCare $18 - $47 38%
+ 18 smaller / regional plans $18 - $299
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 6 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 5 Medical Park, Columbia, SC 29203
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals