CMS Price Transparency Data

Pneumonia vaccine injection

Facility: Holy Cross Hospital - Salt Lake

Billing Code: G0009 (HCPCS)

The BaseRate · fair price high confidence
A fair price for this
$51
about 1.1× the $48 Medicare rate · typically $33–$65
modeled estimate · not a bill or quote
What this hospital charges insurers
$56
About the fair price
about $5 over the fair price · 1.2× Medicare
Medicare pays $48 Fair price $51 This hospital $56 Cash price $54 Hospital's list price $135

How we calculate the fair BaseRate →

How this hospital compares to other UT hospitals

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

Cheapest $29 Priciest $56

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

A fair price for a Pneumonia vaccine injection is about $51 (about 1.1× the $48 Medicare rate). Holy Cross Hospital - Salt Lake charges insurers about $56, or about $54 in cash — about the fair price. Located in Salt Lake City, UT.

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 $50 - $84 105%
Aetnamajor $60 - $114 125%
Cignamajor $48 - $108 100%
Humanamajor $47 98%
Molina $58 - $100 121%
SelectHealth $90 188%
+ 11 smaller / regional plans $48 - $135
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: 1050 East South Temple, Salt Lake City, UT 84102
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals