CMS Price Transparency Data

Pneumonia vaccine injection

Facility: Prisma Health North Greenville Ltach

Billing Code: G0009 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$45
about 0.9× the $48 Medicare rate · typically $20–$70
modeled estimate · not a bill or quote
What this hospital charges insurers
$47
About the fair price
about $2 over the fair price · 1.0× Medicare
Medicare pays $48 Fair price $45 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 $45 (about 0.9× the $48 Medicare rate). Prisma Health North Greenville Ltach charges insurers about $47, or about $83 in cash — about the fair price. Located in Travelers Rest, 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 $20 - $227 42%
Blue Cross Blue Shieldmajor $45 - $143 94%
Aetnamajor $47 - $100 98%
Cignamajor $45 - $88 94%
Humanamajor $46 - $47 96%
Ambetter (Centene) $83 173%
Molina $49 102%
MVP Health Care $88 184%
WellCare $47 98%
+ 21 smaller / regional plans $29 - $227
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 807 N Main St, Travelers Rest, SC 29690
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL