CMS Price Transparency Data

Pneumonia vaccine injection

Facility: Brookings Health System

Billing Code: G0009 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$58
about 1.2× the $48 Medicare rate · typically $39–$126
modeled estimate · not a bill or quote
What this hospital charges insurers
$39
Below the fair price — a good deal
about $19 under the fair price · 0.8× Medicare
Medicare pays $48 Fair price $58 This hospital $39 Cash price $36 Hospital's list price $72

How we calculate the fair BaseRate →

How this hospital compares to other SD hospitals

A typical price — 3 charge more and 2 charge less, among the 6 SD hospitals compared.

Cheapest $30 Priciest $49

Black dot = this hospital, among the 6 SD hospitals with a price for this procedure. Full list below.

A fair price for a Pneumonia vaccine injection is about $58 (about 1.2× the $48 Medicare rate). Brookings Health System charges insurers about $39, or about $36 in cash — below the fair price — a good deal. Located in Brookings, SD.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Humana AetnaCignaKaiser 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 $51 - $68 107%
Blue Cross Blue Shieldmajor $39 82%
Humanamajor $56 - $74 117%
Medica $24 - $60 50%
Sanford Health Plan $59 - $78 123%
+ 1 smaller / regional plan $56 - $74
Government programs also on file: Medicare, Medicaid.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 300 22Nd Ave, Brookings, SD 57006
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals