CMS Price Transparency Data
Pneumonia vaccine injection
Facility: Anmed Health
Billing Code: G0009 (HCPCS)
The BaseRate · fair price high confidence
A fair price for this
$44
about 0.9× the $48 Medicare rate · typically $32–$51
modeled estimate · not a bill or quote
Medicare pays $48 Fair price $44 Cash price $14 Hospital's list price $27
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 | $20 - $32 | 42% |
| Blue Cross Blue Shieldmajor | $32 - $33 | 67% |
| Aetnamajor | $32 - $51 | 67% |
| Cignamajor | $12 - $32 | 25% |
| Humanamajor | $33 | 69% |
| Ambetter (Centene) | $34 | 71% |
| Bright Health | $7 - $9 | 15% |
| Devoted Health | $33 | 69% |
| GEHA | $20 | 42% |
| Molina | $32 - $33 | 67% |
| + 16 smaller / regional plans | $5 - $56 |
Government programs also on file: Medicare, Military & VA.
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Anmed Health
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.