CMS Price Transparency Data

Pneumonia vaccine injection

Facility: Pelham Medical Center

Billing Code: G0009 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$55
about 1.1× the $48 Medicare rate · typically $49–$68
modeled estimate · not a bill or quote
What this hospital charges insurers
$64
Above the fair price
about $9 over the fair price · 1.3× Medicare
Medicare pays $48 Fair price $55 This hospital $64

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 $64

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 $55 (about 1.1× the $48 Medicare rate). Pelham Medical Center charges insurers about $64 — above the fair price. Located in Greer, SC.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $55. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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

✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana UnitedHealthcareKaiser 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 $45 - $260 94%
Aetnamajor $46 96%
Cignamajor $48 100%
Humanamajor $45 94%
Devoted Health $46 96%
+ 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.

Facility Profile & Credentials

  • Address: 250 Westmoreland Road, Greer, SC 29651
  • CMS Rating: ★★★★★
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals